1. Home
  2. Directory
  3. Oregon
  4. Medford
  5. Counselor
  6. NPI Profile
Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MIA DAY QUALKINBUSH LPC
NPI 1164342382
Counselor - Mental Health in Medford, OR

Active since July 17, 2026
140 S HOLLY ST, MEDFORD, OR 97501(541) 770-7726(541) 774-7964 Get Directions Write a Review

NPPES record added: July 17, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mia Day Qualkinbush Lpc NPPES

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

MIA DAY QUALKINBUSH LPC (NPI 1164342382) is an individual mental health provider in Medford, Oregon, licensed in Oregon (26-QMHA-R-8507) and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1164342382
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMIA DAY QUALKINBUSHCredential: LPC
Location Address140 S HOLLY STMedford, OR 97501-3113
Mailing Address140 S Holly StMedford, OR 97501-3113 · (541) 770-7726 · Fax (541) 774-7964
Phone(541) 770-7726
Fax(541) 774-7964
Sole ProprietorYes
Enumeration DateJuly 17, 2026
NPPES CertifiedJuly 17, 2026
✔ NPI 1164342382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in OR · 26-QMHA-R-8507
140 S HOLLY ST, Medford, OR 97501
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

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

JENNIFER HARPER
Case Manager/Care Coordinator
140 S HOLLY ST
MEDFORD, OR 97501
Jackson County (541) 774-7862
AMBER JENSEN
Counselor (Mental Health)
140 S HOLLY ST
MEDFORD, OR 97501
Jackson County (541) 774-8200
MAUREEN MARTIN
Counselor (Mental Health)
140 S HOLLY ST
MEDFORD, OR 97501
Jackson County (541) 774-7902
MARIE POPPA
Case Manager/Care Coordinator
140 S HOLLY ST
MEDFORD, OR 97501
Jackson County (541) 774-7900
KATHLEEN MARIE CONNAIR-RAU PEER SUPPORT SPEC
Peer Specialist
140 S HOLLY ST
MEDFORD, OR 97501
Jackson County (541) 841-0484
ANTHONY KAHALY MSW, MPH
Counselor (Mental Health)
140 S HOLLY ST
MEDFORD, OR 97501
Jackson County (541) 774-8201
ALAINNA TOMLINSON
Peer Specialist
140 S HOLLY ST
MEDFORD, OR 97501
Jackson County (541) 774-8200
SHELBY S KUYKENDALL CRM
Peer Specialist
140 S HOLLY ST
MEDFORD, OR 97501
Jackson County (541) 774-8200

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 Mia Qualkinbush's NPI number?

The NPI number for Mia Qualkinbush is 1164342382. It was assigned to this individual provider in the NPPES registry on July 17, 2026.

Where is Mia Qualkinbush located?

Mia Qualkinbush practices at 140 S Holly St, Medford, OR 97501. The listed phone number is (541) 770-7726.

What is Mia Qualkinbush's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Mia Qualkinbush was last updated on July 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 34 days 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.