Individual provider Active NPI

Mallory Hamm, MA, LPCA

  • Mental Health Counselor
  • Frankfort, KY
National Provider Identifier
1033656301
Registry record updated Dec 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
171858 Issued in KY
Practice address
251 Democrat Dr
Frankfort, KY 40601-9214
Phone
(502) 385-0695
NPI assigned
Jan 25, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 171858 KY Primary

Addresses

Primary practice location

251 Democrat Dr
Frankfort, KY 40601-9214

Mailing address

726 Reed Dr
Frankfort, KY 40601-4548
Phone (606) 392-1057

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240131000430 KY Practitioner - Mental Health Counselor 8224481817 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
171858KYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Spero Health of Kentucky, LLC CurrentSince Apr 8, 2022 Accepting new patients
Kentucky Counseling Center, LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

251 Democrat Dr
Frankfort, KY 40601
Phone (502) 385-0695

1169 Eastern Pkwy
Ste 3328
Louisville, KY 40217
Phone (205) 914-2526

4835 Poplar Level Rd
Ste 110
Louisville, KY 40213
Phone (502) 424-5002

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1485302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576627200000",
    "number": "1033656301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "726 REED DR",
            "city": "FRANKFORT",
            "state": "KY",
            "postal_code": "406014548",
            "telephone_number": "606-392-1057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 DEMOCRAT DR",
            "city": "FRANKFORT",
            "state": "KY",
            "postal_code": "406019214",
            "telephone_number": "502-385-0695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMM",
        "first_name": "MALLORY",
        "credential": "MA, LPCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-25",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "171858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frankfort, KY

Sources for this page

Verify at the official NPI Registry.