Antoinette Mallett, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

6401014164 Issued in MI

Practice address

4710 W Saginaw Hwy Ste 9
Lansing, MI 48917-2654

Phone

(517) 615-8312

NPI assigned

Jun 6, 2015

Last updated

Dec 4, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: antoinette.mallett.1@28994.direct.athenahealth.com

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.

• Fountain of Wisdom and Hope LLC

  • Counselor
  • Lansing, MI
  • NPI 1427619758
  NPD Authorized official

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

{
    "created_epoch": "1433548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1679953491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4710 W SAGINAW HWY STE 9",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489172654",
            "telephone_number": "517-684-0577",
            "fax_number": "517-977-1232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4710 W SAGINAW HWY STE 9",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489172654",
            "telephone_number": "517-615-8312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLETT",
        "first_name": "ANTOINETTE",
        "name_prefix": "Miss",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-06",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401014164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maral Malekzadeh, D.O.
• Marcie Maleport
• Mahnoor Aftab Malik, DDS
• Sarah Malik, MD
• Steven Malinoski
• Craig Hargurkirat Malli, M.D.
• Nabeel Mallick, MD
• Mallori Mangus-Hayden
• Katelyn E Mallory
• Marc P Mallory, D.D.S., PLLC

• Counselor in Lansing, MI
• Providers in Lansing, MI by specialty
• Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; 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.