Mallory Kroll, LMHC, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

9380 Issued in MA

Legal business name

MALLORY KROLL, LMHC, LLC

Practice address

19 Muzzey St Ste 301
Lexington, MA 02421-5211

Phone

(781) 218-9159

NPI assigned

Jan 28, 2018

Organization subpart

No

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

Authorized official

Name

Mallory Kroll, LMHC

Title

Owner

Phone

(781) 218-9159

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1517097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517097600000",
    "number": "1194223818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 BARTLETT AVE # 1",
            "city": "ARLINGTON",
            "state": "MA",
            "postal_code": "024767951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 MUZZEY ST STE 301",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024215211",
            "telephone_number": "781-218-9159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALLORY KROLL, LMHC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-28",
        "last_updated": "2018-01-28",
        "status": "A",
        "authorized_official_last_name": "KROLL",
        "authorized_official_first_name": "MALLORY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-218-9159",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "9380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Lexington, MA
• Providers in Lexington, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.