Jennifer Elaine Maloney, M.A. TEMP LIC #1

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

1 Issued in WV

Practice address

824 Cross Lanes Dr
Cross Lanes, WV 25313-1338

Phone

(304) 759-9835

Fax

(304) 759-9839

NPI assigned

Oct 30, 2017

Last updated

Oct 30, 2017By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1509321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509321600000",
    "number": "1659883783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "824 CROSS LANES DR",
            "city": "CROSS LANES",
            "state": "WV",
            "postal_code": "253131338",
            "telephone_number": "304-759-9835",
            "fax_number": "304-759-9839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 CROSS LANES DR",
            "city": "CROSS LANES",
            "state": "WV",
            "postal_code": "253131338",
            "telephone_number": "304-759-9835",
            "fax_number": "304-759-9839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALONEY",
        "first_name": "JENNIFER",
        "middle_name": "ELAINE",
        "credential": "M.A. TEMP LIC #1",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-30",
        "last_updated": "2017-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WV",
            "license": "1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810001251",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Loveless
• Tiffany Lucas
• Lisa Ann Lytle, APRN, FNP-BC
• Robert Mace
• Samantha Macfarland
• Dewey Wilson Mann Jr., DDS
• Teri Marcum
• Mark L. Douglas, DO
• Mark S. Calfee, DC
• Alexandria Ann Marshall

• Mental Health Counselor in Cross Lanes, WV
• Providers in Cross Lanes, WV by specialty
• Mental Health Counselor in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.