Mallory M Bitterman

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

124 Asbury Dr
Wilmore, KY 40390-1115

Phone

(765) 480-3259

NPI assigned

Mar 18, 2019

Last updated

Mar 18, 2019By 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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1552867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552867200000",
    "number": "1356800577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 ASBURY DR",
            "city": "WILMORE",
            "state": "KY",
            "postal_code": "403901115",
            "telephone_number": "765-480-3259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 ASBURY DR",
            "city": "WILMORE",
            "state": "KY",
            "postal_code": "403901115",
            "telephone_number": "765-480-3259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BITTERMAN",
        "first_name": "MALLORY",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-18",
        "last_updated": "2019-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1256",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "mallory.bitterman@asburyseminary.edu",
            "affiliation": "N",
            "address_1": "124 Asbury Dr",
            "city": "Wilmore",
            "state": "KY",
            "country_code": "US",
            "postal_code": "403901115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mollie E. Aleshire, APRN
• Asbury University
• Katelyn E Bailey, LMFT 137123
• Sarah Beeghly
• John Norwood Chapman, MD
• Christopher Alex Clark, LMFT
• Joel Ellis Clark, P.T.
• Thomas Fred Coburn, M.D.
• Rebecca R Cole, APRN

• Mental Health Counselor in Wilmore, KY
• Providers in Wilmore, KY by specialty
• Mental Health Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.