Angela G Mallowes, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LMHC10000840 Issued in MA

Practice address

411 Main St
Yarmouth Port, MA 02675-1843

Phone

(508) 221-1224

NPI assigned

Sep 9, 2020

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

Opted out of Medicare

Previously, effective Aug 20, 2024 through Aug 20, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kintsugi Psychotherapy

  • Mental Health Counselor
  • Yarmouth Port, MA
  • NPI 1508631839
  NPD Authorized official

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

{
    "created_epoch": "1599609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1740895523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "194 MAIN ST",
            "city": "BREWSTER",
            "state": "MA",
            "postal_code": "026311037",
            "telephone_number": "508-221-1224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 MAIN ST",
            "city": "YARMOUTH PORT",
            "state": "MA",
            "postal_code": "026751843",
            "telephone_number": "508-221-1224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLOWES",
        "first_name": "ANGELA",
        "middle_name": "G",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-09",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "LMHC10000840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa J Perkins Psychotherapy
• Corey Joyce Lopes, DMD
• Cheryl Lyford, LMHC
• Clifford Spence Macdermid, PHARM. D
• Garry Mackoul, LMHC, LMFT
• Rose Maloney
• Christina Malzenski, LICSW
• Richard D Marchand, D.M.D.
• Jeffrey David Martens, MD
• Glenn Joseph Martin, RN, BSN

• Mental Health Counselor in Yarmouth Port, MA
• Providers in Yarmouth Port, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.