Active NPI
Mallory McCann, LPC, NCC, BC-TMH
- Mental Health Counselor
- Baton Rouge, LA
National Provider Identifier
1447606512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 6507
- Practice address
- 7472 Highland Rd
Baton Rouge, LA 70808-6611 - Phone
- (225) 448-3359
- NPI assigned
- May 9, 2016
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 6507 | LA | |
| Mental Health Counselor | 101YM0800X | 6507 | LA | Primary |
Addresses
Primary practice location
7472 Highland Rd
Baton Rouge, LA 70808-6611
Mailing address
417 S Johnson St
New Orleans, LA 70112-2237
Phone (972) 391-4450
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6507 | Other | LA | LPC LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2015
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
8490 Picardy Ave
Baton Rouge, LA 70809-3731
9001 Summa Ave
Suite 448
Baton Rouge, LA 70809-3726
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6507 | LA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Louisiana Internal Medicine Associates, LLC | Current | Accepting new patients | |
| The Wellness Studio, LLC | Past | Accepting new patients |
Locations
7472 Highland Rd
Baton Rouge, LA 70808
Phone (225) 448-3359
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Baton Rouge, LA
- NPI 1023479102
-
- Community/Behavioral Health Agency
- Baton Rouge, LA
- NPI 1609245117
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690416000000",
"number": "1447606512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "417 S JOHNSON ST",
"city": "NEW ORLEANS",
"state": "LA",
"postal_code": "701122237",
"telephone_number": "972-391-4450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7472 HIGHLAND RD",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708086611",
"telephone_number": "225-448-3359"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCANN",
"first_name": "MALLORY",
"credential": "LPC, NCC, BC-TMH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-09",
"last_updated": "2023-07-27",
"certification_date": "2023-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "LA",
"license": "6507",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "LA",
"license": "6507",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LPC LICENSE",
"identifier": "6507",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.