Active NPI
Mallory Talya Cohen, LPC
- Professional Counselor
- Jenkintown, PA
National Provider Identifier
1639970593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC018196
- Practice address
- 801 Old York Rd Ste 301
Jenkintown, PA 19046-1611 - Phone
- (406) 361-3146
- NPI assigned
- Mar 24, 2025
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC018196 | PA | Primary |
Addresses
Primary practice location
801 Old York Rd Ste 301
Jenkintown, PA 19046-1611
Mailing address
53 W Valley Cir
West Warwick, RI 02893-1860
Phone (508) 404-3949
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 |
|---|---|---|---|
| PC018196 | PA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1742774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742774400000",
"number": "1639970593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "53 W VALLEY CIR",
"city": "WEST WARWICK",
"state": "RI",
"postal_code": "028931860",
"telephone_number": "508-404-3949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 OLD YORK RD STE 301",
"city": "JENKINTOWN",
"state": "PA",
"postal_code": "190461611",
"telephone_number": "406-361-3146"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COHEN",
"first_name": "MALLORY",
"middle_name": "TALYA",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-03-24",
"last_updated": "2025-03-24",
"certification_date": "2025-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC018196",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jenkintown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.