Active NPI
Dawn Malone
- Counselor
- Reisterstown, MD
National Provider Identifier
1326752072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 12114 Lamottes CT
Reisterstown, MD 21136-4728 - Phone
- (443) 977-9393
- NPI assigned
- Jan 9, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
12114 Lamottes CT
Reisterstown, MD 21136-4728
Mailing address
PO Box 93
Glyndon, MD 21071-0093
Phone (443) 790-7494
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| W20482386 | Other | MD | SDAT |
| W20482386 | Other | MD | STATE OF MD |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | other | Other |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673222400000",
"number": "1326752072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 93",
"city": "GLYNDON",
"state": "MD",
"postal_code": "210710093",
"telephone_number": "443-790-7494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12114 LAMOTTES CT",
"city": "REISTERSTOWN",
"state": "MD",
"postal_code": "211364728",
"telephone_number": "443-977-9393"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALONE",
"first_name": "DAWN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-01-09",
"last_updated": "2023-01-09",
"certification_date": "2023-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SDAT",
"identifier": "W20482386",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF MD",
"identifier": "W20482386",
"state": "MD"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "other",
"affiliation": "N",
"endpointDescription": "other",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "other",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "other",
"address_1": "12114 Lamottes Ct",
"city": "Reisterstown",
"state": "MD",
"country_code": "US",
"postal_code": "211364728",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Reisterstown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.