Individual provider Active NPI

Alyson Drake Malone, CMS, LPCA

  • Professional Counselor
  • Simpsonville, SC
National Provider Identifier
1265203665
Registry record updated Jan 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
8693 Issued in SC
Practice address
501 Wemberly LN
Simpsonville, SC 29681-3859
Phone
(864) 993-5865
NPI assigned
Jan 15, 2024
Last updated
Jan 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 8693 SC Primary

Addresses

Primary practice location

501 Wemberly LN
Simpsonville, SC 29681-3859

Mailing address

501 Wemberly LN
Simpsonville, SC 29681-3859
Phone (864) 993-5865

Other names 1

  • Aly D Malone Other name

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

LicenseStateTypeSpecialty
8693SCMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1705276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705276800000",
    "number": "1265203665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 WEMBERLY LN",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296813859",
            "telephone_number": "864-993-5865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 WEMBERLY LN",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296813859",
            "telephone_number": "864-993-5865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALONE",
        "first_name": "ALYSON",
        "middle_name": "DRAKE",
        "credential": "CMS, LPCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-15",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "8693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALY",
            "last_name": "MALONE",
            "middle_name": "D",
            "credential": "CMS, LPCA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Simpsonville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2024; 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.