Active NPI
Mallory L Horne
- Professional Counselor
- Fort Polk, LA
National Provider Identifier
1578155685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC.10146
- Practice address
- 6241 Haag St Apt B
Fort Polk, LA 71459-7420 - Phone
- (501) 482-1510
- NPI assigned
- Feb 9, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 03268 | KS | |
| Professional Counselor | 101YP2500X | LPC.10146 | LA | Primary |
Addresses
Primary practice location
6241 Haag St Apt B
Fort Polk, LA 71459-7420
Mailing address
6241 Haag St Apt B
Fort Polk, LA 71459-7420
Phone (501) 482-1510
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 |
|---|---|---|---|
| 03268 | KS | MD | Mental Health Counselor |
| LPC.10146 | LA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778803200000",
"number": "1578155685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6241 HAAG ST APT B",
"city": "FORT POLK",
"state": "LA",
"postal_code": "714597420",
"telephone_number": "501-482-1510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6241 HAAG ST APT B",
"city": "FORT POLK",
"state": "LA",
"postal_code": "714597420",
"telephone_number": "501-482-1510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HORNE",
"first_name": "MALLORY",
"middle_name": "L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-09",
"last_updated": "2026-05-15",
"certification_date": "2026-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "KS",
"license": "03268",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "LA",
"license": "LPC.10146",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Polk, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.