NPIMap

Organization Active NPI

Mallory Gollick, LPC

  • Mental Health Counselor
  • Glendale, CO
National Provider Identifier
1255710414
Registry record updated May 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC.0012290 Issued in CO
Legal business name
MALLORY GOLLICK, LPC
Practice address
950 S Cherry St
Glendale, CO 80246-2699
Phone
(303) 520-8096
NPI assigned
May 21, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2015

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

Authorized official

Name
Ms. Mallory Gollick, MS, LPC
Title
Clinician
Phone
(303) 520-8096

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X LPC.0012290 CO Primary

Addresses

Primary practice location

950 S Cherry St
Glendale, CO 80246-2699

Mailing address

609 S Gaylord St
Denver, CO 80209-4627

National Provider Directory

National Provider Directory
Tax ID family
Community Care Services456 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 12

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

NPI Registry JSON

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

{
    "created_epoch": "1432166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432166400000",
    "number": "1255710414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 S GAYLORD ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802094627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 S CHERRY ST",
            "city": "GLENDALE",
            "state": "CO",
            "postal_code": "802462699",
            "telephone_number": "303-520-8096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALLORY GOLLICK, LPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-21",
        "last_updated": "2015-05-21",
        "status": "A",
        "authorized_official_last_name": "GOLLICK",
        "authorized_official_first_name": "MALLORY",
        "authorized_official_title_or_position": "CLINICIAN",
        "authorized_official_telephone_number": "303-520-8096",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS, LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPC.0012290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2015; 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.