Mallorie Stafford, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC 008680 Issued in PA

Practice address

807 Lawn Ave
Sellersville, PA 18960-1549

Phone

(215) 257-6551

Fax

(215) 257-9347

NPI assigned

Apr 28, 2016

Last updated

Sep 25, 2024By 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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

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.

• Insight Based Change, LLC

  • Point of Service
  • Doylestown, PA
  • NPI 1104456490
  NPD

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

{
    "created_epoch": "1461801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1588019459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252 W SWAMP RD STE 36",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189012465",
            "telephone_number": "267-454-2028",
            "fax_number": "888-551-1692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 LAWN AVE",
            "city": "SELLERSVILLE",
            "state": "PA",
            "postal_code": "189601549",
            "telephone_number": "215-257-6551",
            "fax_number": "215-257-9347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAFFORD",
        "first_name": "MALLORIE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-28",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC 008680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St. Luke's Hospital Grand View Campus
• St. Luke's Hospital Grand View Campus
• St. Luke's Physician Group Inc. (St. Luke's Buxmont Gastroenterology Specialists)
• St. Luke's Physician Group, Inc. (St. Luke's OB/GYN Stoneridge)
• Sara B St.Onge, B.A.
• Molly J Stanton, M.S.
• Gail A Stasiw
• Megan Steich, M.ED.
• Danny Stein, CRNP
• Patricia Margaret Stephan, RPH

• Professional Counselor in Sellersville, PA
• Providers in Sellersville, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.