Active NPI
Christina Yvonne Malu, LCSW, LCAS-A
- Mental Health Counselor
- Jacksonville, NC
National Provider Identifier
1619757523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- CO13364
- Practice address
- 900 Dennis Rd
Jacksonville, NC 28546-7287 - Phone
- (910) 381-8438
- NPI assigned
- Sep 29, 2023
- Last updated
- Sep 29, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | CO13364 | NC | Primary |
Addresses
Primary practice location
900 Dennis Rd
Jacksonville, NC 28546-7287
Mailing address
1011 Decatur Rd
Jacksonville, NC 28540-6828
Phone (910) 381-8438
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 |
|---|---|---|---|
| CO13364 | NC | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Onslow County Partnership for Children | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba One Place
- Pediatrics Physician
- Jacksonville, NC
- NPI 1093029563
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695945600000",
"number": "1619757523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1011 DECATUR RD",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "285406828",
"telephone_number": "910-381-8438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 DENNIS RD",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "285467287",
"telephone_number": "910-381-8438"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALU",
"first_name": "CHRISTINA",
"middle_name": "YVONNE",
"credential": "LCSW, LCAS-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-29",
"last_updated": "2023-09-29",
"certification_date": "2023-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "CO13364",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.