Active NPI
Pamela Hayes Malkoff, MFT, ATR-BC, LPC,
- Professional Counselor
- Atlanta, GA
National Provider Identifier
1699070474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC013381
- Practice address
- 3495 Piedmont Rd NE Ste 100
Atlanta, GA 30305-1717 - Phone
- (818) 836-1239
- NPI assigned
- Jan 25, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC 46565 | CA | |
| Professional Counselor | 101YP2500X | 00113 | RI | |
| Professional Counselor | 101YP2500X | TPMF286 | FL | |
| Professional Counselor | 101YP2500X | LPC013381 | GA | Primary |
Addresses
Primary practice location
3495 Piedmont Rd NE Ste 100
Atlanta, GA 30305-1717
Mailing address
6010 Escher LN SE
Mableton, GA 30126-5763
Phone (818) 836-1239
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 |
|---|---|---|---|
| 00113 | RI | MD | Addiction (Substance Use Disorder) Counselor |
| TPMF286 | FL | MD | Professional Counselor |
| LPC013381 | GA | MD | Professional Counselor |
| MFC 46565 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686614400000",
"number": "1699070474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6010 ESCHER LN SE",
"city": "MABLETON",
"state": "GA",
"postal_code": "301265763",
"telephone_number": "818-836-1239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3495 PIEDMONT RD NE STE 100",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303051717",
"telephone_number": "818-836-1239"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALKOFF",
"first_name": "PAMELA",
"middle_name": "HAYES",
"name_prefix": "Ms.",
"credential": "MFT, ATR-BC, LPC,",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-01-25",
"last_updated": "2023-06-13",
"certification_date": "2023-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC 46565",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "RI",
"license": "00113",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "FL",
"license": "TPMF286",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC013381",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.