JACOB MARSHALL QUALLS LCADC
NPI 1083491575
Counselor - Addiction (Substance Use Disorder) in Winchester, KY

Active since September 11, 2023
1300 W LEXINGTON AVE, WINCHESTER, KY 40391(859) 287-1098 Get Directions Write a Review

NPPES record last updated: September 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 12, 2025, Apr 17, 2024 (2 updates tracked since 2024).

About Jacob Marshall Qualls Lcadc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACOB MARSHALL QUALLS LCADC (NPI 1083491575) is an individual addiction (substance use disorder) provider in Winchester, Kentucky, licensed in Kentucky (299921) and active in the NPI registry since September 2023.

NPPES Registry Identity

NPI1083491575
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameJACOB MARSHALL QUALLSCredential: LCADC
Location Address1300 W LEXINGTON AVEWinchester, KY 40391-1154
Mailing Address1300 W Lexington AveWinchester, KY 40391-1154 · (859) 287-1098
Sole ProprietorNo
Enumeration DateSeptember 11, 2023
Last NPPES UpdateSeptember 12, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 12, 2025
NPI 1083491575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in KY · 299921
1300 W LEXINGTON AVE, Winchester, KY 40391

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Pulmonary Disease)
1300 W LEXINGTON AVE, SUITE 2
WINCHESTER, KY 40391
Pediatrics
1300 W LEXINGTON AVE
WINCHESTER, KY 40391
Clinic/Center (Methadone)
1300 W LEXINGTON AVE
WINCHESTER, KY 40391
Pediatrics
1300 W LEXINGTON AVE
WINCHESTER, KY 40391

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacob Qualls's NPI number?

The NPI number for Jacob Qualls is 1083491575. It was assigned to this individual provider in the NPPES registry on September 11, 2023.

Where is Jacob Qualls located?

Jacob Qualls practices at 1300 W Lexington Ave, Winchester, KY 40391. The listed phone number is (859) 287-1098.

What is Jacob Qualls's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Jacob Qualls was last updated on September 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.