Mallory S Everett, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

37PC00651600 Issued in NJ

Practice address

15 Engle St
Englewood, NJ 07631-2936

Phone

(718) 664-5915

NPI assigned

Nov 30, 2018

Last updated

Nov 30, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1543536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543536000000",
    "number": "1285104430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 MONETT CT",
            "city": "MORRIS PLAINS",
            "state": "NJ",
            "postal_code": "079501957",
            "telephone_number": "718-664-5915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 ENGLE ST",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076312936",
            "telephone_number": "718-664-5915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVERETT",
        "first_name": "MALLORY",
        "middle_name": "S",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-30",
        "last_updated": "2018-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37PC00651600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Esther Huang OD PA
• Ethos Wellness
• Barry Ettinger, M.D.
• Eugene Friedberg MD LLC
• Robert Paul Evans, PH.D.
• Evergreene Mobile Phlebotomy (n/a)
• Eytan Chen DMD LLC (Growing Smiles of Englewood)
• Beenish Faheem, MD
• Steve R Fallek, MD
• Nancy Faltas, LCSW

• Mental Health Counselor in Englewood, NJ
• Providers in Englewood, NJ by specialty
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.