Katie Malloy, M.S.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH60777028 Issued in WA

Practice address

945 11TH Ave
Longview, WA 98632-2555

Phone

(360) 414-8600

Fax

(360) 636-7372

NPI assigned

Jan 15, 2015

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Northwest Psychological Resources LLC

  • Clinical Neuropsychologist
  • Longview, WA
  • NPI 1811079049
  NPD (past)
• Real Life Community Behavioral Health PLLC

  • Mental Health Counselor
  • Vancouver, WA
  • NPI 1952063265
  NPD (past)
• Real Life Counseling PLLC

  • Clinical Social Worker
  • Vancouver, WA
  • NPI 1053782078
  NPD (past)

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

{
    "created_epoch": "1421280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1396134177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 852",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986660852",
            "telephone_number": "360-869-6094",
            "fax_number": "360-636-7372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 11TH AVE",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986322555",
            "telephone_number": "360-414-8600",
            "fax_number": "360-636-7372"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1498 SE Tech Center Pl Ste 300",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986835509",
            "country_code": "US",
            "telephone_number": "360-619-2226",
            "fax_number": "360-326-9691",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALLOY",
        "first_name": "KATIE",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-15",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60777028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Anne Mahon, PA
• Makael White PLLC
• Lacey Makinson
• Praise Malabag
• David Maligro, PA-C
• Brandon Phillip Malmstadt
• Jennifer L Malone-Dieter, AAC
• Aimee Gwyn Mamich, PMHNP-BC, MSN, RN
• Ramnish Jagdish Mandrelle, MBBS, MD
• Herbert Mao, DO

• Mental Health Counselor in Longview, WA
• Providers in Longview, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; 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.