Austin Jerome Malone, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

39003046A Issued in IN

Practice address

4905 Melton Rd
Gary, IN 46403-2873

Phone

(219) 808-0793

Fax

(765) 374-0761

NPI assigned

Jul 2, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Voyage LLC

  • Mental Health Counselor
  • Schererville, IN
  • NPI 1134636590
  NPD Authorized official
• Voyage LLC

  • Mental Health Counselor
  • Gary, IN
  • NPI 1912418880
  NPD Authorized official

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

{
    "created_epoch": "1530489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530489600000",
    "number": "1023504198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 INDIANAPOLIS BLVD STE 207",
            "city": "SCHERERVILLE",
            "state": "IN",
            "postal_code": "463751275",
            "telephone_number": "219-808-0793",
            "fax_number": "765-274-0621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4905 MELTON RD",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464032873",
            "telephone_number": "219-808-0793",
            "fax_number": "765-374-0761"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "222 Indianapolis Blvd Ste 207",
            "address_purpose": "LOCATION",
            "city": "Schererville",
            "state": "IN",
            "postal_code": "463751275",
            "country_code": "US",
            "telephone_number": "219-808-0793",
            "fax_number": "765-274-0621",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALONE",
        "first_name": "AUSTIN",
        "middle_name": "JEROME",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-02",
        "last_updated": "2018-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39003046A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300014409",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Billy Madgett
• Adam Madison
• Major Hospital (Aperion Care Tolleston Park)
• Fanta Mallard, MEDICAL ASSISTANT
• Angela Malone
• Lakedra Malone
• Nevin Malone
• Mama's Care LLC
• Alexx Renee Mann, LMHC
• Raheem Khawaja Mansoor

• Mental Health Counselor in Gary, IN
• Providers in Gary, IN by specialty
• Mental Health Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2018; 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.