Jessica Sue Malaney, MA LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401015913 Issued in MI

Practice address

1370 N Oakland Blvd
Suite 105
Waterford, MI 48327-4525

Phone

(248) 666-8870

Fax

(248) 666-5023

NPI assigned

Feb 3, 2017

Last updated

May 6, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Credentials

Master of Arts

State licenses

Practice roles

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.

• Catholic Charities of Southeast Michigan

  • Clinical Social Worker
  • Madison Heights, MI
  • NPI 1316283757

  Professional

  NPD (past)

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

{
    "created_epoch": "1486080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557100800000",
    "number": "1568900082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1370 N OAKLAND BLVD",
            "address_2": "SUITE 105",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483274525",
            "telephone_number": "248-666-8870",
            "fax_number": "248-666-5023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1370 N OAKLAND BLVD",
            "address_2": "SUITE 105",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483274525",
            "telephone_number": "248-666-8870",
            "fax_number": "248-666-5023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALANEY",
        "first_name": "JESSICA",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "MA LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-03",
        "last_updated": "2019-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401015913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaley Christina Macleod, LLPC
• Alyshia Magee, BS, MED
• Dorsha Nicole Magee, LLBSW
• Grace Karen Mailing, MS, BCBA, LBA
• Anthony Maina, LLMSW
• Marshall David Maldaver, PHD
• Anthony G Malis, DDS
• Daniel Mallory
• Soumya Mamidi, PHYSICAL THERAPIST
• Ivory Mamo

• Professional Counselor in Waterford, MI
• Providers in Waterford, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2019; 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.