Individual provider Active NPI

Kelly Quarles, M.ED, NCC, LPC

  • Professional Counselor
  • Mt Pleasant, SC
National Provider Identifier
1669845293
Registry record updated Oct 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6225 Issued in SC
Practice address
501 Belle Hall Pkwy Unit 202
Mt Pleasant, SC 29464
Phone
(843) 885-4537
NPI assigned
Nov 4, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6225 SC Primary

Addresses

Primary practice location

501 Belle Hall Pkwy Unit 202
Mt Pleasant, SC 29464

Mailing address

501 Belle Hall Pkwy Unit 202
Mt Pleasant, SC 29464-8322
Phone (843) 885-4537

Other practice location 1

9225 University Blvd
E2A
North Charleston, SC 29406-9149
Phone (843) 637-4211

Other practice location 2

9225 University Blvd
E2A
North Charleston, SC 29406-9149
Phone (843) 637-4211

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
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
6225SCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Guided Healing Licensed Clinical Therapy, LLC Professional CurrentSince Feb 5, 2021 Accepting new patients

Locations

4 Carriage Ln
Ste 202
Charleston, SC 29407
Phone (843) 225-0537

501 Belle Hall Pkwy
Unit 202
Mt Pleasant, SC 29464
Phone (843) 412-0927

501 Belle Hall Pkwy
Unit 102
Mt Pleasant, SC 29464
Phone (843) 225-0567

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1446595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570752000000",
    "number": "1669845293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 BELLE HALL PKWY UNIT 202",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294648322",
            "telephone_number": "843-885-4537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 BELLE HALL PKWY UNIT 202",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "29464",
            "telephone_number": "843-885-4537"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9225 University Blvd",
            "address_2": "E2A",
            "address_purpose": "LOCATION",
            "city": "North Charleston",
            "state": "SC",
            "postal_code": "294069149",
            "country_code": "US",
            "telephone_number": "843-637-4211",
            "fax_number": "843-793-3691",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9225 University Blvd",
            "address_2": "E2A",
            "address_purpose": "LOCATION",
            "city": "North Charleston",
            "state": "SC",
            "postal_code": "294069149",
            "country_code": "US",
            "telephone_number": "843-637-4211",
            "fax_number": "843-793-3691",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUARLES",
        "first_name": "KELLY",
        "credential": "M.ED, NCC, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-04",
        "last_updated": "2019-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "6225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2019; 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.