Malory Emalee Mendoza, LPC, LAC
Individual provider Active NPI Counselor · Minturn, CO
NPI 1083578447 · NPPES record last updated Dec 10, 2025
Key facts
- NPI
- 1083578447
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- LPC.0023014 (CO)
- Practice address
- 301 Boulder St Unit 1406
Minturn, CO 81645-5067 - Phone
- (774) 208-3937
- NPI assigned
- Dec 10, 2025
- 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 |
|---|---|---|---|
| LPC.0023014 | CO | MD | Counselor |
| ACD.0002705 | CO | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | ACD.0002705 | CO | |
| Counselor | 101Y00000X | LPC.0023014 | CO | Yes |
Addresses
Primary practice location
301 Boulder St Unit 1406
Minturn, CO 81645-5067
Mailing address
301 Boulder St Unit 1406
Minturn, CO 81645-5067
Phone (774) 208-3937
Other providers in Minturn, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 10, 2025. 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.