Individual provider Active NPI

Mallory Williams

  • Professional Counselor
  • Pittsburgh, PA
National Provider Identifier
1265888051
Registry record updated Jan 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC010749 Issued in PA
Practice address
9401 McKnight Rd Ste 302
Pittsburgh, PA 15237
Phone
(412) 322-2129
Fax
(412) 221-1091
NPI assigned
May 11, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Professional Counselor 101YP2500X PC010749 PA Primary

Addresses

Primary practice location

9401 McKnight Rd Ste 302
Pittsburgh, PA 15237

Mailing address

830 Western Ave
Pittsburgh, PA 15233-1716
Phone (412) 716-8419

Other practice location 1

316 Station St
Bridgeville, PA 15017-1833
Phone (412) 221-1091

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
PC010749PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling and Wellness Center of Pittsburgh Professional PastSince Dec 3, 2023 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1462924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546819200000",
    "number": "1265888051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 WESTERN AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152331716",
            "telephone_number": "412-716-8419",
            "fax_number": "412-221-1091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9401 MCKNIGHT RD STE 302",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15237",
            "telephone_number": "412-322-2129",
            "fax_number": "412-221-1091"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "316 Station St",
            "address_purpose": "LOCATION",
            "city": "Bridgeville",
            "state": "PA",
            "postal_code": "150171833",
            "country_code": "US",
            "telephone_number": "412-221-1091",
            "fax_number": "412-221-1091",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MALLORY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-11",
        "last_updated": "2019-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC010749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2019; 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.