Individual provider Active NPI

Mary Elizabeth Quick, MA, LMHC

  • Mental Health Counselor
  • Naples, FL
National Provider Identifier
1861148975
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH12026 Issued in FL
Practice address
75 Vineyards Blvd Ste 201
Naples, FL 34119-4748
Phone
(239) 326-0796
NPI assigned
Feb 28, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH12026 FL Primary

Addresses

Primary practice location

75 Vineyards Blvd Ste 201
Naples, FL 34119-4748

Mailing address

4259 Covey Cir # 16-C
Naples, FL 34109-2503
Phone (239) 777-0840

Other practice location 1

4259 Covey Cir # 16-C
Naples, FL 34109-2503
Phone (239) 777-0840

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240111001974 FL Practitioner - Mental Health Counselor 0547611857 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Premier Psychology, PLLCGroup PAC ID 1850614454, 6 clinicians

Practice addresses (Care Compare)

830 Anchor Rode Dr
Naples, FL 34103-2739
Phone (239) 234-6333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Psychology, PLLC CurrentSince Oct 1, 2024 Accepting new patients
Ellie Mental Health of Naples at 75 Vineyards Blvd Mental Health CurrentSince Jan 1, 2024 Accepting new patients
Ellie Mental Health of Estero Mental Health PastSince Aug 14, 2022 Accepting new patients

Locations

75 Vineyards Blvd
Ste 201
Naples, FL 34119
Phone (239) 326-0796

830 Anchor Rode Dr
Naples, FL 34103
Phone (239) 234-6333

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": "1646006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1861148975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4259 COVEY CIR # 16-C",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341092503",
            "telephone_number": "239-777-0840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 VINEYARDS BLVD STE 201",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341194748",
            "telephone_number": "239-326-0796"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4259 Covey Cir # 16-C",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341092503",
            "country_code": "US",
            "telephone_number": "239-777-0840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUICK",
        "first_name": "MARY ELIZABETH",
        "credential": "MA, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-28",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH12026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.