Mallory Anne Hossick, LCPC
Individual provider Active NPI Counselor · Hampstead, MD
NPI 1043946239 · NPPES record last updated Jul 8, 2026
Key facts
- NPI
- 1043946239
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- LC15322 (MD)
- Practice address
- 4111 Saint Paul Rd
Hampstead, MD 21074-1920 - Phone
- (443) 605-6637
- NPI assigned
- Jul 28, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LGP12940 | MD | MD | Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | LC15322 | MD | Yes |
| Mental Health Counselor | 101YM0800X | 0701016304 | VA |
Addresses
Primary practice location
4111 Saint Paul Rd
Hampstead, MD 21074-1920
Mailing address
4111 Saint Paul Rd
Hampstead, MD 21074-1920
Other names
- Mallory Anne Kahn
Other providers in Hampstead, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.