Active NPI
Joellen Marie Quarles, LPC, LMFT
- Mental Health Counselor
- Lake Charles, LA
National Provider Identifier
1669712469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 2868
- Practice address
- 308 N Lake CT
Lake Charles, LA 70605-6535 - Phone
- (337) 477-8547
- NPI assigned
- Feb 15, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 2868 | LA | Primary |
| Marriage & Family Therapist | 106H00000X | 877 | LA |
Addresses
Primary practice location
308 N Lake CT
Lake Charles, LA 70605-6535
Mailing address
308 N Lake CT
Lake Charles, LA 70605-6535
Phone (337) 477-8547
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2868 | LA | MD | Mental Health Counselor |
| 877 | LA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360886400000",
"number": "1669712469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "308 N LAKE CT",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706056535",
"telephone_number": "337-477-8547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "308 N LAKE CT",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706056535",
"telephone_number": "337-477-8547"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUARLES",
"first_name": "JOELLEN",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "LPC, LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-02-15",
"last_updated": "2013-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "LA",
"license": "2868",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "LA",
"license": "877",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Charles, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.