Mallorie Ely, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MALLORIE ELY, LLC

Practice address

1009 Highway 2 Ste D
Sandpoint, ID 83864-2713

Phone

(208) 610-0996

NPI assigned

Dec 20, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mallorie Ely, LCSWNPI 1871925834

Title

Owner/Clinician

Phone

(208) 610-0996

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mallorie Ely, LCSW

  • Social Worker
  • Sandpoint, ID
  • NPI 1871925834
  Medicare reassignment NPD Authorized official
• Barbara Perusse, LCPC

  • Professional Counselor
  • Sandpoint, ID
  • NPI 1598146839
  NPD (past)

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

{
    "created_epoch": "1576800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766448000000",
    "number": "1649818642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 484",
            "city": "KOOTENAI",
            "state": "ID",
            "postal_code": "838400484",
            "telephone_number": "208-610-0996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 HIGHWAY 2 STE D",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838642713",
            "telephone_number": "208-610-0996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALLORIE ELY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-20",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A",
        "authorized_official_last_name": "ELY",
        "authorized_official_first_name": "MALLORIE",
        "authorized_official_title_or_position": "OWNER/CLINICIAN",
        "authorized_official_telephone_number": "208-610-0996",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelby Madsen
• Katherine Magee, MD
• Charles W Maile, MD
• Majeski Counseling
• Susan Majeski, LCSW
• Sasha Maloney
• Manninen PLLC
• Bethany Mason
• Janean Marie Mason, RPT
• Pennie Mathias, MS, OTR/L

• Community/Behavioral Health Agency in Sandpoint, ID
• Providers in Sandpoint, ID by specialty
• Community/Behavioral Health Agency in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.