Tinesha Dominique Younger-Qualls, LPC, ACD

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC.0016122 Issued in CO

Practice address

9959 E Peakview Ave Apt M201
Englewood, CO 80111-6167

Phone

(720) 917-4341

NPI assigned

Sep 14, 2021

Last updated

Sep 14, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1631577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631577600000",
    "number": "1952071706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9959 E PEAKVIEW AVE APT M201",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801116167",
            "telephone_number": "720-917-4341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9959 E PEAKVIEW AVE APT M201",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801116167",
            "telephone_number": "720-917-4341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNGER-QUALLS",
        "first_name": "TINESHA",
        "middle_name": "DOMINIQUE",
        "credential": "LPC, ACD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-14",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "ACD.0001815",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPC.0016122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Englewood, CO
• Providers in Englewood, CO by specialty
• Mental Health Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; 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.