Active NPI
Gregory S Malone, MA LMHC
- Mental Health Counselor
- Seattle, WA
National Provider Identifier
1407988421
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH00009767
- Practice address
- 2136 8TH Ave W
7
Seattle, WA 98119-2863 - Phone
- (206) 588-6604
- NPI assigned
- Mar 12, 2007
- Sex
- Male
- 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 | LH00009767 | WA | Primary |
Addresses
Primary practice location
2136 8TH Ave W
7
Seattle, WA 98119-2863
Mailing address
2136 8TH Ave W
7
Seattle, WA 98119-2863
Phone (206) 588-6604
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LH00009767 | Other | WA | STATE MENTAL HEALTH LICEN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 8, 2024 through Mar 8, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LH00009767 | WA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417132800000",
"number": "1407988421",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2136 8TH AVE W",
"address_2": "7",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981192863",
"telephone_number": "206-588-6604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2136 8TH AVE W",
"address_2": "7",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981192863",
"telephone_number": "206-588-6604"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALONE",
"first_name": "GREGORY",
"middle_name": "S",
"name_prefix": "Mr.",
"credential": "MA LMHC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-12",
"last_updated": "2014-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH00009767",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE MENTAL HEALTH LICEN",
"identifier": "LH00009767",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.