Kristen R Qualls, MA, LPC, LMFT, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6401011017 Issued in MI

Practice address

705 Barclay Cir Ste 105
Rochester Hills, MI 48307-4575

Phone

(810) 397-4861

NPI assigned

Sep 3, 2008

Last updated

Sep 14, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kristen Qualls PC

  • Professional Counselor
  • Rochester Hills, MI
  • NPI 1679080030
  NPD (past) Authorized official

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536883200000",
    "number": "1275781247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 BARCLAY CIR STE 105",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483074575",
            "telephone_number": "810-397-4861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 BARCLAY CIR STE 105",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483074575",
            "telephone_number": "810-397-4861"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "77 E Long Lake Rd",
            "address_purpose": "LOCATION",
            "city": "Bloomfield Hills",
            "state": "MI",
            "postal_code": "483042371",
            "country_code": "US",
            "telephone_number": "810-397-4861",
            "fax_number": "248-593-6036",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUALLS",
        "first_name": "KRISTEN",
        "middle_name": "R",
        "credential": "MA, LPC, LMFT, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-03",
        "last_updated": "2018-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401011017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Rochester Hills, MI
• Providers in Rochester Hills, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2018; 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.