Individual provider Active NPI

Mallory McCann, LPC, NCC, BC-TMH

  • Mental Health Counselor
  • Baton Rouge, LA
National Provider Identifier
1447606512
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6507 Issued in LA
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

Updated by the provider on Jul 27, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
6507OtherLALPC 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251212001367 LA Practitioner - Mental Health Counselor 7911491394 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
6507LAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Louisiana Internal Medicine Associates, LLC CurrentSince Sep 22, 2025 Accepting new patients
The Wellness Studio, LLC PastSince Jul 31, 2023 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.

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

Verify at the official NPI Registry.