Organization Active NPI

Qualls & Associates PLLC

  • Professional Counselor
  • Grand Haven, MI
National Provider Identifier
1730736430
Registry record updated Aug 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
QUALLS & ASSOCIATES PLLC
Practice address
923 S Beechtree St Ste 10
Grand Haven, MI 49417-2306
Phone
(616) 935-1246
Fax
(616) 935-1255
NPI assigned
Aug 19, 2019
Last updated
Aug 19, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2019

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

Authorized official

Name
Daniel Qualls, LPCNPI 1023047685
Title
Owner
Phone
(616) 935-1246

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

923 S Beechtree St Ste 10
Grand Haven, MI 49417-2306

Mailing address

923 S Beechtree St Ste 10
Grand Haven, MI 49417-2306
Phone (616) 935-1246

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1566172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566172800000",
    "number": "1730736430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "923 S BEECHTREE ST STE 10",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494172306",
            "telephone_number": "616-935-1246",
            "fax_number": "616-935-1255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "923 S BEECHTREE ST STE 10",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494172306",
            "telephone_number": "616-935-1246",
            "fax_number": "616-935-1255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALLS & ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-19",
        "last_updated": "2019-08-19",
        "status": "A",
        "authorized_official_last_name": "QUALLS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-935-1246",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Haven, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.