Individual provider Active NPI

Natasha Nicole Qualls, LMFT

  • Marriage & Family Therapist
  • Fresno, CA
National Provider Identifier
1891220372
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT120768 Issued in CA
Practice address
2719 N Air Fresno Dr
Fresno, CA 93727-1547
Phone
(559) 600-9180
NPI assigned
Apr 21, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 99259 CA
Marriage & Family Therapist 106H00000X IMF992259 CA
Marriage & Family Therapist 106H00000X MFC120768 CA
Marriage & Family Therapist 106H00000X LMFT120768 CA Primary

Addresses

Primary practice location

2719 N Air Fresno Dr
Fresno, CA 93727-1547

Mailing address

2719 N Air Fresno Dr Ste 107
Fresno, CA 93727-1547
Phone (559) 960-3311

Other practice location 1

516 N Kaweah Ave
Exeter, CA 93221-1200
Phone (559) 594-4969

Other practice location 2

1393 Bailey St
Hanford, CA 93230-5922
Phone (559) 639-2035

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

State licenses

LicenseStateTypeSpecialty
IMF992259CAMDMarriage & Family Therapist
LMFT120768CAMDMarriage & Family Therapist
MFC120768CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1492732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1891220372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2719 N AIR FRESNO DR STE 107",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937271547",
            "telephone_number": "559-960-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2719 N AIR FRESNO DR",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937271547",
            "telephone_number": "559-600-9180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "516 N Kaweah Ave",
            "address_purpose": "LOCATION",
            "city": "Exeter",
            "state": "CA",
            "postal_code": "932211200",
            "country_code": "US",
            "telephone_number": "559-594-4969",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1393 Bailey St",
            "address_purpose": "LOCATION",
            "city": "Hanford",
            "state": "CA",
            "postal_code": "932305922",
            "country_code": "US",
            "telephone_number": "559-639-2035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUALLS",
        "first_name": "NATASHA",
        "middle_name": "NICOLE",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-21",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "99259",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF992259",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC120768",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT120768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; 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.