Quality Living Counseling, PC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

QUALITY LIVING COUNSELING, PC

Practice address

4897 Miller Trunk Hwy Ste 217
Hermantown, MN 55811-1936

Phone

(218) 576-5700

Fax

(218) 520-2995

NPI assigned

Sep 9, 2021

Last updated

Jan 15, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kristina Scott, MA, LPCCNPI 1033242516

Title

Owner

Phone

(218) 576-5700

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kristina L Scott, LPCC

  • Professional Counselor
  • Duluth, MN
  • NPI 1033242516
  Medicare reassignment NPD Authorized official
• Abbie Wethern-Edman

  • Professional Counselor
  • Hermantown, MN
  • NPI 1093652083
  NPD (past)

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

{
    "created_epoch": "1631145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642204800000",
    "number": "1023787330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4897 MILLER TRUNK HWY STE 217",
            "city": "HERMANTOWN",
            "state": "MN",
            "postal_code": "558111936",
            "telephone_number": "218-576-5700",
            "fax_number": "218-520-2995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4897 MILLER TRUNK HWY STE 217",
            "city": "HERMANTOWN",
            "state": "MN",
            "postal_code": "558111936",
            "telephone_number": "218-576-5700",
            "fax_number": "218-520-2995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY LIVING COUNSELING, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-09",
        "last_updated": "2022-01-15",
        "certification_date": "2022-01-15",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-576-5700",
        "authorized_official_credential": "MA, LPCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly A Plote, DDS
• Heather Lynn Prekop
• Psych Solutions LLC
• Malia Elizabeth Putzel
• Audrey Robin Quach
• Morgan Lynnwood Quick
• Kaylee A. Rackliffe
• Elizabeth Marie Raduege
• Isabella Redepenning
• Kaedyn Daniel Redig

• Professional Counselor in Hermantown, MN
• Providers in Hermantown, MN by specialty
• Professional Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.