Mallory W Gakpo

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

33008825A Issued in IN

Practice address

501 S 9TH St Ste 108
Noblesville, IN 46060-2709

Phone

(317) 333-6838

NPI assigned

Apr 26, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Community Physicians of Indiana Inc

  • Family Medicine Physician
  • Indianapolis, IN
  • NPI 1619105244
  NPD
• Community Physicians of Indiana Inc

  • Endocrinology, Diabetes & Metabolism Physician
  • Carmel, IN
  • NPI 1992396337
  NPD
• Mindful Morphosis Counseling Services, LLC

  • Community/Behavioral Health Agency
  • Noblesville, IN
  • NPI 1164061685
  NPD

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

{
    "created_epoch": "1619395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619395200000",
    "number": "1134701469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4925 DUNLIN DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462350014",
            "telephone_number": "317-694-9702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S 9TH ST STE 108",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460602709",
            "telephone_number": "317-333-6838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAKPO",
        "first_name": "MALLORY",
        "middle_name": "W",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-26",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "33008825A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles T Fuhrer III, D.D.S., M.S.D.
• Jamal Fulce
• Brian Funk, MA, CCC-SLP
• Fve MW LLC
• Gad Flaumenhaft PC
• Carol A Ganza, LCSW
• Angel Garcia
• Jessica Gardner, LCSW
• Amber Renee Garland
• Ashley Garrett, MSOTR

• Mental Health Counselor in Noblesville, IN
• Providers in Noblesville, 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 Apr 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.