Kristen Qualls PC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401011017 Issued in MI

Legal business name

KRISTEN QUALLS PC

Practice address

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

Phone

(810) 397-4861

NPI assigned

Jan 8, 2018

Last updated

Jan 8, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kristen Qualls, LPC, LMFTNPI 1275781247

Title

President

Phone

(810) 397-4861

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kristen R Qualls, MA, LPC, LMFT, NCC

  • Mental Health Counselor
  • Rochester Hills, MI
  • NPI 1275781247
  NPD (past) Authorized official

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

{
    "created_epoch": "1515369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515369600000",
    "number": "1679080030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1915 CASTLETON DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480832613",
            "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": [],
    "basic": {
        "organization_name": "KRISTEN QUALLS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-08",
        "last_updated": "2018-01-08",
        "status": "A",
        "authorized_official_last_name": "QUALLS",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-397-4861",
        "authorized_official_credential": "LPC, LMFT"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401011017",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MI",
            "license": "4101006433",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Krasnick, NURSE PRACTITIONER
• Allison Marie Krause, DPT
• Barbara Krauss, M.D.
• Jodi Rebecca Kresch, D.O.
• Kristen Caring Hands
• Kristen's Caring Hands LLC
• Scott Michael Kroczolowski
• Kroger Co of Michigan (Kroger Pharmacy)
• Jillian Laprairie Krywko, FNP
• Prachi Kshirsagar, MSRD

• Professional Counselor in Rochester Hills, MI
• Providers in Rochester Hills, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.