Active NPI
Allison Catherine Mahlo, MS.ED, LPC
- Mental Health Counselor
- Rock Island, IL
National Provider Identifier
1740964279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 178.018906
- Practice address
- 2940 River Heights Rd
Rock Island, IL 61201-6962 - Phone
- (309) 292-1866
- NPI assigned
- Jun 14, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 178.018906 | IL | Primary |
Addresses
Primary practice location
2940 River Heights Rd
Rock Island, IL 61201-6962
Mailing address
2940 River Heights Rd
Rock Island, IL 61201-6962
Phone (309) 292-1866
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 |
|---|---|---|---|
| 178.018906 | IL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crescent Moon Therapy, PLLC | Mental Health | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Park Ridge, IL
- NPI 1013663996
Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686700800000",
"number": "1740964279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2940 RIVER HEIGHTS RD",
"city": "ROCK ISLAND",
"state": "IL",
"postal_code": "612016962",
"telephone_number": "309-292-1866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2940 RIVER HEIGHTS RD",
"city": "ROCK ISLAND",
"state": "IL",
"postal_code": "612016962",
"telephone_number": "309-292-1866"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHLO",
"first_name": "ALLISON",
"middle_name": "CATHERINE",
"credential": "MS.ED, LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-06-14",
"last_updated": "2023-06-14",
"certification_date": "2023-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IL",
"license": "178.018906",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rock Island, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.