MR. QUINCY ALEXANDER GILLIAM APCC
NPI 1003586942
Counselor - Professional in San Francisco, CA

Q: What is Quincy Gilliam's NPI number?

The NPI number for Quincy Gilliam is 1003586942. It was assigned to this individual provider in the NPPES registry on September 13, 2021.

Q: What is Quincy Gilliam's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Quincy Gilliam was last updated on April 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 13, 2021PECOS Enrolled

1625 CARROLL AVE, SAN FRANCISCO, CA 94124(415) 822-8200 Get Directions Write a Review

NPPES record last updated: April 6, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 6, 2023, Sep 14, 2021 (2 updates tracked since 2021).

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About Mr. Quincy Alexander Gilliam Apcc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. QUINCY ALEXANDER GILLIAM APCC (NPI 1003586942) is an individual professional provider in San Francisco, California, licensed in California (APCC) and active in the NPI registry since September 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003586942

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameMR. QUINCY ALEXANDER GILLIAMCredential: APCC

Location Address1625 CARROLL AVESan Francisco, CA 94124-3219

Mailing Address1130 3rd Ave Apt 1410Oakland, CA 94606-2245 · (404) 641-9561

Phone(415) 822-8200

Sole ProprietorYes

Enumeration DateSeptember 13, 2021

Last NPPES UpdateApril 6, 20232 updates tracked since enumeration

NPPES CertifiedApril 6, 2023

✔ NPI 1003586942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in CA · APCC

Also ListedCounselorTaxonomy 101Y00000X

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

1625 CARROLL AVE, San Francisco, CA 94124

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Quincy Alexander Gilliam Apcc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LINDA JEAN NICHOLSON

Community Health Worker