Active NPI
Mona Muriel Qualls, M.A., LPC
- Mental Health Counselor
- Shreveport, LA
National Provider Identifier
1871793935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 3513
- Practice address
- 1002 Highland Ave
Suite 300
Shreveport, LA 71101-4143 - Phone
- (318) 364-7054
- Fax
- (318) 742-0763
- NPI assigned
- Jul 18, 2007
- 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 | 3513 | LA | Primary |
| Professional Counselor | 101YP2500X | 3513 | LA |
Addresses
Primary practice location
1002 Highland Ave
Suite 300
Shreveport, LA 71101-4143
Mailing address
1002 Highland Ave
Suite 300
Shreveport, LA 71101-4143
Phone (318) 364-7054
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3513 | LA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184716800000",
"number": "1871793935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1002 HIGHLAND AVE",
"address_2": "SUITE 300",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711014143",
"telephone_number": "318-364-7054",
"fax_number": "318-742-0763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1002 HIGHLAND AVE",
"address_2": "SUITE 300",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711014143",
"telephone_number": "318-364-7054",
"fax_number": "318-742-0763"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUALLS",
"first_name": "MONA",
"middle_name": "MURIEL",
"name_prefix": "Mrs.",
"credential": "M.A., LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-18",
"last_updated": "2007-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "LA",
"license": "3513",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "LA",
"license": "3513",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shreveport, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.