Taylor D Qualls, MA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2019043807 Issued in MO

Practice address

304 SE 3Rd St
Lees Summit, MO 64063-2724

Phone

(913) 263-6006

NPI assigned

Nov 20, 2019

Last updated

Nov 27, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1574208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1467098947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 SE 3RD ST",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640632724",
            "telephone_number": "913-263-6006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 SE 3RD ST",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640632724",
            "telephone_number": "913-263-6006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUALLS",
        "first_name": "TAYLOR",
        "middle_name": "D",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-20",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2019043807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "taylor@lifeworkskc.org",
            "affiliation": "Y",
            "affiliationName": "Lifeworks Family Treatment Group, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "304 SE 3rd St",
            "city": "Lees Summit",
            "state": "MO",
            "country_code": "US",
            "postal_code": "640632724",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Connie Mae Putthoff, LSCSW
• Azhin O Qadir, PHARMD
• Darren B Quaile, P.A.-C.
• Qualicare KC
• Ashley Qualls, RN, FNP-C
• Chase Victor Quattrocchi, DDS
• Mallory Elizabeth Quesenberry, PA-C
• Quest Diagnostics Clinical Laboratories Inc
• Gloria Quick
• Megan Quick, PHARMD

• Mental Health Counselor in Lee's Summit, MO
• Providers in Lee's Summit, MO by specialty
• Mental Health Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.