Organization Active NPI

The Other Road Counseling PLLC

  • Clinical Social Worker
  • Loveland, CO
National Provider Identifier
1316407802
Registry record updated Jan 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
THE OTHER ROAD COUNSELING PLLC
Practice address
2004 W 15TH St Ste 2
Loveland, CO 80538-3551
Phone
(970) 217-2486
Fax
(855) 217-8024
NPI assigned
Mar 21, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2026

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

Authorized official

Name
Mallorie Danielle SmolenNPI 1346597887
Title
Owner/LCSW
Phone
(970) 217-2486

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

2004 W 15TH St Ste 2
Loveland, CO 80538-3551

Mailing address

2004 W 15TH St Ste 2
Loveland, CO 80538-3551

Other identifiers 1

IdentifierTypeStateIssuer
09925655OtherCOLICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200824000364 CO Part B Supplier - Clinic/Group Practice 1254752256 Receives reassigned benefits from 2 practitioners
Practice locations: Loveland, CO

National Provider Directory

National Provider Directory
Tax ID family
The Other Road Counseling PLLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2004 W 15th St
Ste 4
Loveland, CO 80538
Phone (970) 217-2486

1269 Cleveland Ave
Ste 2
Loveland, CO 80537
Phone (970) 573-1655

231 W 4th St
Ste 106
Loveland, CO 80537
Phone (860) 208-3396

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1553126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768262400000",
    "number": "1316407802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 W 15TH ST STE 2",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805383551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 W 15TH ST STE 2",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805383551",
            "telephone_number": "970-217-2486",
            "fax_number": "855-217-8024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE OTHER ROAD COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-21",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A",
        "authorized_official_last_name": "SMOLEN",
        "authorized_official_first_name": "MALLORIE",
        "authorized_official_middle_name": "DANIELLE",
        "authorized_official_title_or_position": "OWNER/LCSW",
        "authorized_official_telephone_number": "970-217-2486"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "09925655",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Loveland, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.