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Carly R Quick , QMHA

Case Manager/Care Coordinator β€’ Eugene, OR

Active NPI 1124685128 Individual Practitioner Female Practitioner
Practice location in NPPES

2145 Centennial Plz
Eugene, OR 974012474

Call 5419124085 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2145 Centennial Plz

Eugene, OR 974012474

Telephone 5419124085
Organization at the Same NPPES Address or Phone
Laurel Hill Center Facility NPI 1295808012

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 3 distinct additional practice-address records in Columbus, OH. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2019

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Eugene and Oregon

101 active clinicians are listed under Case Manager/Care Coordinator with a practice address in Eugene, OR (4,193 in Oregon).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Eugene

0% of these 101 clinicians have the CMS telehealth indicator.

0% of these 101 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-05-05
Case Manager/Care Coordinator Primary Specialty

NUCC Taxonomy Code: 171M00000X

License # reported to NPPES OR 21-QMHA-R-1030

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Case Management

NUCC Taxonomy Code: 251B00000X

An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level.

Community/Behavioral Health

NUCC Taxonomy Code: 251S00000X

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

License # reported to NPPES OH S.2001529-TRNE

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Oregon Medical Board.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
0350549 (OH)
Medicaid ID
1639231715 (OR)

Secondary Practice Locations

195 N Grant Ave Ste 250

Columbus, OH 432152855

Phone: 4402608300

7690 New Market Center Way

Columbus, OH 432351976

Phone: 6146026473

1855 E Dublin Granville Rd Ste 204

Columbus, OH 432293516

Phone: 6142677003

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

2 listed
Amy Patrick , ARNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1255761466

Advanced Registered Nurse Practitioner

Todd Styles , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1841767340

Psychiatric-Mental Health Nurse Practitioner

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

12 Historical Events
πŸ“
Updated Practice Location May 05, 2021

Registered at 2145 CENTENNIAL PLZ, EUGENE, OR 974012474 (Tel: 5419124085)

πŸ“
Updated Business Mailing Address May 05, 2021

Registered at 2145 CENTENNIAL PLZ, EUGENE, OR 974012474 (Tel: 5419124085)

πŸ‘€
Provider Name / Credentials Updated May 05, 2021

Recorded as CARLY QUICK, QMHA

πŸ“
Updated Practice Location September 21, 2020

Registered at 1855 E DUBLIN GRANVILLE RD STE 204, COLUMBUS, OH 432293516 (Tel: 6142677003)

πŸ“
Updated Business Mailing Address September 21, 2020

Registered at 1855 E DUBLIN GRANVILLE RD STE 204, COLUMBUS, OH 432293516 (Tel: 6142677003)

πŸ‘€
Provider Name / Credentials Updated September 21, 2020

Recorded as CARLY QUICK, QMHS, SOCIAL WORKER

βœ…
NPI Profile Active May 24, 2019

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 24, 2019

Registered at 195 N GRANT AVE STE 250, COLUMBUS, OH 432152855 (Tel: 4402608300)

πŸ“
Business Mailing Address (Initial Record) May 24, 2019

Registered at 434 EASTLAND RD, BEREA, OH 440171217 (Tel: 4402342006)

πŸ‘€
Provider Name / Credentials (Initial Record) May 24, 2019

Recorded as CARLY QUICK, QMHS BA CMSBA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 24, 2019

Case Management

🟒
Initial NPI Registration & Enumeration May 24, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1124685128
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 24, 2019
Last Update: May 05, 2021
Sole Proprietor: Yes

Mailing Address

2145 Centennial Plz

Eugene, OR 974012474

Phone: 5419124085

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.