Individual provider Active NPI

Brandi S. Qualls, LCPC

  • Professional Counselor
  • Lansing, IL
National Provider Identifier
1447995691
Registry record updated Jan 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180014842 Issued in IL
Practice address
18515 Country LN
Lansing, IL 60438-2582
Phone
(708) 513-4480
NPI assigned
May 2, 2022
Last updated
Jan 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 178017977 IL
Professional Counselor 101YP2500X 180014842 IL Primary

Addresses

Primary practice location

18515 Country LN
Lansing, IL 60438-2582

Mailing address

PO Box 645
Lansing, IL 60438-0645
Phone (708) 513-4480

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250610000815 IN Practitioner - Mental Health Counselor 3870003817 Reassigns benefits to 2 organizations
I20260106003461 IL Practitioner - Mental Health Counselor 3870003817 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
178017977ILMDProfessional Counselor
180014842ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Professional CurrentSince Dec 4, 2025 Accepting new patients
Bqualls Behavioral Health Services, LLC Professional CurrentSince Nov 12, 2023 Accepting new patients
Community Healthnet Inc CurrentSince May 14, 2025 Accepting new patients
Community Healthnet Inc CurrentSince May 14, 2025 Accepting new patients
Community Healthnet Inc Past Accepting new patients
Community Healthnet Inc Past Accepting new patients
Community Healthnet Inc Past Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

605 N Michigan Ave
Fl 4
Chicago, IL 60611
Phone (773) 232-5338

1021 W 5th Ave
Gary, IN 46402

3503 Martin Luther King Dr
Gary, IN 46409
Phone (219) 293-8843

5927 Columbia Ave
Hammond, IN 46320
Phone (219) 321-9385

9465 Counselors Row
Ste 200
Indianapolis, IN 46240
Phone (463) 220-4646

6100 Broadway
Merrillville, IN 46410
Phone 21988011908843

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1651449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769731200000",
    "number": "1447995691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 645",
            "city": "LANSING",
            "state": "IL",
            "postal_code": "604380645",
            "telephone_number": "708-513-4480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18515 COUNTRY LN",
            "city": "LANSING",
            "state": "IL",
            "postal_code": "604382582",
            "telephone_number": "708-513-4480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUALLS",
        "first_name": "BRANDI S.",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-02",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178017977",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180014842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, IL

Sources for this page

Verify at the official NPI Registry.