Quaninika Washington, MS/LADAC/CCDP-D/MFTC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

0279L Issued in AR

Practice address

2901 S Hemlock St
Pine Bluff, AR 71603-4783

Phone

(870) 489-7002

Fax

(870) 850-0001

NPI assigned

Nov 5, 2013

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ideas Emerge Counseling and Consulting, PLLC

  • Community/Behavioral Health Agency
  • Pine Bluff, AR
  • NPI 1013156751
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1383609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383609600000",
    "number": "1700215233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 S HEMLOCK ST",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716034783",
            "telephone_number": "870-489-7002",
            "fax_number": "870-850-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 S HEMLOCK ST",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716034783",
            "telephone_number": "870-489-7002",
            "fax_number": "870-850-0001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASHINGTON",
        "first_name": "QUANINIKA",
        "credential": "MS/LADAC/CCDP-D/MFTC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-05",
        "last_updated": "2013-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AR",
            "license": "0279L",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "117",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mya Ware
• Regina Warner
• Abeer Washington, M.D.
• Cary Washington
• Margaret Ann Washington, A.N.P.
• Watson Chapel School District No.24 of Jefferson County
• Angie Lorraine Watson-Griffin, DSW, DAC, LCSW
• Zabrina Zennile Weaver, ED.D., LADAC
• Jacobie Webb
• Sharon Yvette Webb

• Addiction (Substance Use Disorder) Counselor in Pine Bluff, AR
• Providers in Pine Bluff, AR by specialty
• Addiction (Substance Use Disorder) Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.