Mallorie Krueger, MSCP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

3920 Washington St
Weirton, WV 26062-5343

Phone

(304) 748-3768

NPI assigned

Jul 6, 2018

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 names 1

• Mallorie Dazen Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1530835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530835200000",
    "number": "1679069280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3904 CLAREMONT PL",
            "city": "WEIRTON",
            "state": "WV",
            "postal_code": "260624314",
            "telephone_number": "412-445-6870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 WASHINGTON ST",
            "city": "WEIRTON",
            "state": "WV",
            "postal_code": "260625343",
            "telephone_number": "304-748-3768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUEGER",
        "first_name": "MALLORIE",
        "credential": "MSCP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-06",
        "last_updated": "2018-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MALLORIE",
            "last_name": "DAZEN",
            "credential": "MSCP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Natasha Nicole Kowalczyk
• Lindsey Kraeer, PHARMD
• Elizabeth Anne Krise
• Krishan K Aggarwal, MD MRCP Inc
• Marcie Krivak, PA
• Michael P Kucher, OD
• Jason Kuhn, FNP
• Amanda Michelle Kyer-Boyd, APRN, NP-C
• Bremacha Laguerre, LMT
• Rachel Lahita

• All providers in Weirton, WV
• Mental Health Counselor in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2018; 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.