Active NPI
Rolanda Denise Malloy, LPC
- Professional Counselor
- Rockingham, NC
National Provider Identifier
1437355344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 7570
- Practice address
- 315 C South Long Drive
Rockingham, NC 28379 - Phone
- (910) 997-5477
- Fax
- (910) 997-5290
- NPI assigned
- Jun 26, 2007
- Last updated
- Nov 30, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | NU | ||
| Professional Counselor | 101YP2500X | 7570 | NC | Primary |
Addresses
Primary practice location
315 C South Long Drive
Rockingham, NC 28379
Mailing address
112 Greenland Rd
Ellerbe, NC 28338-9127
Phone (910) 334-5819
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7570 | Other | NC | NORTH CAROLINA BOARD OF LICENSED PROFESSIONAL COUNSELORS |
| 201429 | Other | NCC ID # |
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 |
|---|---|---|---|
| 7570 | NC | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1259539200000",
"number": "1437355344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 GREENLAND RD",
"city": "ELLERBE",
"state": "NC",
"postal_code": "283389127",
"telephone_number": "910-334-5819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 C SOUTH LONG DRIVE",
"city": "ROCKINGHAM",
"state": "NC",
"postal_code": "28379",
"telephone_number": "910-997-5477",
"fax_number": "910-997-5290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALLOY",
"first_name": "ROLANDA",
"middle_name": "DENISE",
"name_prefix": "Miss",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-26",
"last_updated": "2009-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "7570",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NORTH CAROLINA BOARD OF LICENSED PROFESSIONAL COUNSELORS",
"identifier": "7570",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCC ID #",
"identifier": "201429",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Rockingham, NC
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- Ma RM JH Inc (Hardwick Vision Center)
- Victoria Mabe, PHARMD
- Main Method Mobility Transportation and Logistics LLC.
- Benjamin Jon Marengo, D.O.
- Caroline Ammons Marks, PHARM D
- Gregory Alan Marks, R.PH.
- Jonathan Scott Marks, R.PH.
- Laura Stutts Marks, WHNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.