Shawna Lee Malcolm, L.P.C.

Primary specialty

CounselorTaxonomy code 101Y00000X

License

5667560-6004 Issued in UT

Practice address

1672 E 7000 S
Cottonwood Heights, UT 84121-3600

Phone

(801) 943-0372

NPI assigned

Aug 17, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1282003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282003200000",
    "number": "1376858126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1672 E 7000 S",
            "city": "COTTONWOOD HEIGHTS",
            "state": "UT",
            "postal_code": "841213600",
            "telephone_number": "801-943-0372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1672 E 7000 S",
            "city": "COTTONWOOD HEIGHTS",
            "state": "UT",
            "postal_code": "841213600",
            "telephone_number": "801-943-0372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALCOLM",
        "first_name": "SHAWNA",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "L.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-17",
        "last_updated": "2010-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "UT",
            "license": "5667560-6004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kiersten Luther
• Bridget Claire Lyon
• Ryley Sierra Lyons
• Holly Major-Yeh, L.C.S.W.
• Courtnee Nadine Malan, MD
• Taylor Malmborg
• Dallin Blaine Mandel
• Jecely Manfoste
• Kelly A Mangrum, D.D.S.
• Dave Mangum, CMHC

• Counselor in Cottonwood Heights, UT
• Providers in Cottonwood Heights, UT by specialty
• Counselor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2010; 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.