Individual provider Active NPI

Sharon Jeanette Quick, LCAS-A

  • Addiction (Substance Use Disorder) Counselor
  • Laurinburg, NC
National Provider Identifier
1831439496
Registry record updated Sep 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
2728-A Issued in NC
Practice address
118 C James Street
Laurinburg, NC 28352-2697
Phone
(910) 291-0078
Fax
(910) 401-1809
NPI assigned
Feb 19, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 2728-A NC Primary
Mental Health Counselor 101YM0800X 2728-A NC

Addresses

Primary practice location

118 C James Street
Laurinburg, NC 28352-2697

Mailing address

1504 Tara Drive
Laurinburg, NC 28352-9691
Phone (910) 610-8306

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2728-ANCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Touched by an Angel, LLC Addiction (Substance Use Disorder) Past Accepting new patients
Touched by an Angel, LLC Addiction (Substance Use Disorder) Past Accepting new patients
Renew Life Group, LLC Addiction (Substance Use Disorder) PastSince Dec 31, 2018 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1361232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410739200000",
    "number": "1831439496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1504 TARA DRIVE",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "283529691",
            "telephone_number": "910-610-8306",
            "fax_number": "910-401-1809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 C JAMES STREET",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "283522697",
            "telephone_number": "910-291-0078",
            "fax_number": "910-401-1809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUICK",
        "first_name": "SHARON",
        "middle_name": "JEANETTE",
        "name_prefix": "Mrs.",
        "credential": "LCAS-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-19",
        "last_updated": "2014-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "2728-A",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "2728-A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurinburg, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2014; 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.