Sara Marie Malcom, THERAPIST

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

122115 Issued in IA

Practice address

4700 Gordon Dr Ste 202
Sioux City, IA 51106-1911

Phone

(612) 227-3640

NPI assigned

May 7, 2024

Last updated

May 8, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

State licenses

Practice roles

Locations

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

• Molly F. Pace LMHC, Atr

  dba He(art) Therapy

  • Mental Health Counselor
  • Sioux City, IA
  • NPI 1174353601
  NPD

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

{
    "created_epoch": "1715040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1457109209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4277 E YELLOWSTONE PL",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852490510",
            "telephone_number": "712-898-3185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 GORDON DR STE 202",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511061911",
            "telephone_number": "612-227-3640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALCOM",
        "first_name": "SARA",
        "middle_name": "MARIE",
        "credential": "THERAPIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-07",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "122115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Lynde, NP
• Yashika Madavarapu, MD
• Valeria Magana
• Deborah A Majerus, M.D.
• Laura Malcolm
• Yenesia Isabella Malfait
• Cindy Mammen, PA-C
• Manley & Obbink Chiropractic and Acupuncture LLP
• Christopher Manley, D.C.
• Brigitte Ann Mann, ARNP

• Mental Health Counselor in Sioux City, IA
• Providers in Sioux City, IA by specialty
• Mental Health Counselor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; 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.