Individual provider Active NPI

Venita N Qualls, M.ED., LMHC, LADC

  • Mental Health Counselor
  • Fall River, MA
National Provider Identifier
1881934339
Registry record updated Dec 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LMHC11581 Issued in MA
Practice address
335 Snell St Apt 9
Fall River, MA 02721-3940
Phone
(978) 398-8780
Fax
(508) 823-4663
NPI assigned
Feb 20, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 12700 MA
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X LMHC11581 MA Primary

Addresses

Primary practice location

335 Snell St Apt 9
Fall River, MA 02721-3940

Mailing address

335 Snell St Apt 9
Fall River, MA 02721-3940
Phone (978) 398-8780

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
LMHC11581MAMDMental Health Counselor
12700MAMDGerontology Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Soulful Essentials, Inc CurrentSince Feb 1, 2020 Accepting new patients
The Comfort Zone Inc CurrentSince Dec 8, 2024 Accepting new patients

Locations

4 Court St
Ste 202
Taunton, MA 02780

71 Main St
Ste 2400
Taunton, MA 02780
Phone (508) 386-1300

Organizations & group practices 2

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": "1361318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733443200000",
    "number": "1881934339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 SNELL ST APT 9",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027213940",
            "telephone_number": "978-398-8780",
            "fax_number": "508-823-4663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 SNELL ST APT 9",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027213940",
            "telephone_number": "978-398-8780",
            "fax_number": "508-823-4663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUALLS",
        "first_name": "VENITA",
        "middle_name": "N",
        "name_prefix": "Ms.",
        "credential": "M.ED., LMHC, LADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-20",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MA",
            "license": "12700",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "LMHC11581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fall River, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2024; 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.