Individual provider Active NPI

Abigail Mallek

  • Mental Health Counselor
  • Coralville, IA
National Provider Identifier
1295429900
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
120829 Issued in IA
Practice address
2240 9TH St
Coralville, IA 52241-1575
Phone
(319) 800-5564
NPI assigned
Jun 6, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 120829 IA Primary

Addresses

Primary practice location

2240 9TH St
Coralville, IA 52241-1575

Mailing address

1150 Pinehurst LN
Norwalk, IA 50211-1909
Phone (515) 705-8653

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260528000872 IA Practitioner - Mental Health Counselor 4789154071 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1701 48TH St
Suite 120
West Des Moines, IA 50266-6703

1701 48TH St
Suite 120
West Des Moines, IA 50266-6723

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
120829IAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Green Counseling Services PLLC Mental Health CurrentSince Nov 9, 2025 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1686009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762214400000",
    "number": "1295429900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 PINEHURST LN",
            "city": "NORWALK",
            "state": "IA",
            "postal_code": "502111909",
            "telephone_number": "515-705-8653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 9TH ST",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522411575",
            "telephone_number": "319-800-5564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLEK",
        "first_name": "ABIGAIL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-06",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "120829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coralville, IA

Sources for this page

Verify at the official NPI Registry.