Malik Mooney, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6672 Issued in SC

Practice address

1 Windsor CV
Columbia, SC 29223-1833

Phone

(803) 873-2496

NPI assigned

Feb 3, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1517616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586563200000",
    "number": "1356840557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 291502",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292290026",
            "telephone_number": "803-626-2256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WINDSOR CV",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292231833",
            "telephone_number": "803-873-2496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOONEY",
        "first_name": "MALIK",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-02-03",
        "last_updated": "2020-04-11",
        "certification_date": "2020-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "6672",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF EXAMINERS FOR COUNSELORS, THERAPISTS, & PSYCHO-EDUCATIONAL SPECIALISTS",
            "identifier": "6672",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jamie E Monzingo, AUD
• Janna Moody, PTA
• Jordan Moody
• Karen Adams Moody, CRNA
• Sharon W Moody
• Serena Mooney
• Richard C Mooneyham, DC
• Moore Orthopaedic Clinic, P.a.
• Moore Orthopaedic Clinic, P.a.
• Stacie K Moore-Bowens, MD

• Mental Health Counselor in Columbia, SC
• Providers in Columbia, SC by specialty
• Mental Health Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2020; 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.