Richard Anthony(Tony) Quicke

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

174400000X Issued in OR

Practice address

322 NW F St
Grants Pass, OR 97526-2052

Phone

(541) 479-2966

NPI assigned

Oct 27, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1288137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288137600000",
    "number": "1780984534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 NW F ST",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975262052",
            "telephone_number": "541-479-2966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 NW F ST",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975262052",
            "telephone_number": "541-479-2966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUICKE",
        "first_name": "RICHARD",
        "middle_name": "ANTHONY(TONY)",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-10-27",
        "last_updated": "2010-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "174400000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "183939",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lance Christopher Pursley, LAC, MAOM
• Regina Purtzer
• Merri Sjaan Pylkas, PT
• Todd M Pylkas, PT
• Quality Life Medical Practice LLC
• Kim Ann Quigley
• Heather Quinn
• Octavia Quinn
• Amorette Quintanilla, B.A.
• Michael A. Radcliffe, LCSW

• Mental Health Counselor in Grants Pass, OR
• Providers in Grants Pass, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2010; 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.