Active NPI
Andrea Malloy
- Mental Health Counselor
- Largo, MD
National Provider Identifier
1386584886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LGP17425
- Practice address
- 1300 Mercantile LN Ste 208
Largo, MD 20774-5340 - Phone
- (301) 583-0001
- Fax
- (301) 583-3403
- NPI assigned
- Apr 1, 2026
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LGP17425 | MD | Primary |
Addresses
Primary practice location
1300 Mercantile LN Ste 208
Largo, MD 20774-5340
Mailing address
1300 Mercantile LN Ste 208
Largo, MD 20774-5340
Phone (301) 583-0001
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LGP17425 | MD | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1775001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775001600000",
"number": "1386584886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 MERCANTILE LN STE 208",
"city": "LARGO",
"state": "MD",
"postal_code": "207745340",
"telephone_number": "301-583-0001",
"fax_number": "301-583-3403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 MERCANTILE LN STE 208",
"city": "LARGO",
"state": "MD",
"postal_code": "207745340",
"telephone_number": "301-583-0001",
"fax_number": "301-583-3403"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALLOY",
"first_name": "ANDREA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-04-01",
"last_updated": "2026-04-01",
"certification_date": "2026-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MD",
"license": "LGP17425",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Largo, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.