Individual provider Active NPI

Mallory Anne Schuckert, LPCC

  • Professional Counselor
  • Columbus, OH
National Provider Identifier
1033669585
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E.2404772 Issued in OH
Practice address
1670 Upham Dr
Columbus, OH 43210-1250
Phone
(614) 293-9600
Fax
(614) 366-1215
NPI assigned
Oct 8, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0016266 CO
Professional Counselor 101YP2500X E.2404772 OH Primary

Addresses

Primary practice location

1670 Upham Dr
Columbus, OH 43210-1250

Mailing address

700 Ackerman Rd Ste 2120
Columbus, OH 43202-1559
Phone (614) 293-9600

Other practice location 1

8405 Church Ranch Blvd
Westminster, CO 80021-3918
Phone (303) 438-2356

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240212000301 CO Practitioner - Mental Health Counselor 2961845557 Reassigns benefits to 1 organization
I20241206000832 OH Practitioner - Mental Health Counselor 2961845557 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ohio State UniversityGroup PAC ID 9739070244, 3 clinicians

Practice addresses (Care Compare)

1670 Upham Dr
Columbus, OH 43210-1250
Phone (614) 293-9600

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0016266COMDMental Health Counselor
E.2404772OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Denver Health and Hospital Authority CurrentSince Jan 1, 2024 Accepting new patients
Denver Health and Hospital Authority CurrentSince Jan 1, 2024 Accepting new patients
Ohio State University CurrentSince Nov 1, 2024 Accepting new patients

Locations

777 Bannock St
Denver, CO 80204

1670 Upham Dr
Columbus, OH 43210
Phone (614) 293-4540

700 Ackerman Rd
Ste 2120
Columbus, OH 43202

Organizations & group practices 3

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1475884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1033669585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 ACKERMAN RD STE 2120",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432021559",
            "telephone_number": "614-293-9600",
            "fax_number": "614-366-1215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1670 UPHAM DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432101250",
            "telephone_number": "614-293-9600",
            "fax_number": "614-366-1215"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8405 Church Ranch Blvd",
            "address_purpose": "LOCATION",
            "city": "Westminster",
            "state": "CO",
            "postal_code": "800213918",
            "country_code": "US",
            "telephone_number": "303-438-2356",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHUCKERT",
        "first_name": "MALLORY",
        "middle_name": "ANNE",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-08",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "0016266",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.2404772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.