Active NPI
Mallory Smith
- Mental Health Counselor
- Columbus, OH
National Provider Identifier
1235673583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- E.1700398
- Practice address
- 8351 N High St Ste 155
Columbus, OH 43235-1440 - Phone
- (614) 664-3595
- NPI assigned
- Dec 6, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | C.1300205 | OH | |
| Mental Health Counselor | 101YM0800X | E.1700398 | OH | Primary |
Addresses
Primary practice location
8351 N High St Ste 155
Columbus, OH 43235-1440
Mailing address
8351 N High St Ste 155
Columbus, OH 43235-1440
Phone (614) 664-3595
Other practice location 1
431 E Broad St
Columbus, OH 43215-3820
Phone (614) 885-5020
Other practice location 2
431 E Broad St
Columbus, OH 43215-3820
Phone (614) 885-5020
Other practice location 3
6209 Riverside Dr Ste 200
Dublin, OH 43017-6028
Phone (614) 310-4940
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C.1300205 | OH | MD | Mental Health Counselor |
| E.1700398 | OH | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providers for Healthy Living | Past | Accepting new patients | |
| Providers for Healthy Living | Past | Accepting new patients | |
| Sonya Slater PSYD Psychologist LLC | Past | Accepting new patients |
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.
-
- Psychiatry Physician
- Columbus, OH
- NPI 1083905830
-
- Psychiatry Physician
- Hilliard, OH
- NPI 1811560899
-
- Clinical Psychologist
- Dublin, OH
- NPI 1669903597
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579219200000",
"number": "1235673583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8351 N HIGH ST STE 155",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432351440",
"telephone_number": "614-664-3595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8351 N HIGH ST STE 155",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432351440",
"telephone_number": "614-664-3595"
}
],
"practiceLocations": [
{
"address_1": "431 E Broad St",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432153820",
"country_code": "US",
"telephone_number": "614-885-5020",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "431 E Broad St",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432153820",
"country_code": "US",
"telephone_number": "614-885-5020",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6209 Riverside Dr Ste 200",
"address_purpose": "LOCATION",
"city": "Dublin",
"state": "OH",
"postal_code": "430176028",
"country_code": "US",
"telephone_number": "614-310-4940",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "MALLORY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-12-06",
"last_updated": "2020-01-17",
"certification_date": "2020-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "C.1300205",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "E.1700398",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.