Malory Kay Olejack, MA, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC014098 Issued in GA

Practice address

1000 Johnson Ferry Rd Ste E150
Marietta, GA 30068-2176

Phone

(678) 824-6893

NPI assigned

Jun 15, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Elgindale Partners, LLC

  • Mental Health Counselor
  • Marietta, GA
  • NPI 1053036277
  NPD

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

{
    "created_epoch": "1686787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1750066098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3278 TURTLE LAKE DR SE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300675056",
            "telephone_number": "920-279-0577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 JOHNSON FERRY RD STE E150",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300682176",
            "telephone_number": "678-824-6893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLEJACK",
        "first_name": "MALORY",
        "middle_name": "KAY",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-15",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC014098",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "APC008107",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ibukunoluwa Olaoye
• Tiwalade Olawuyi, NP
• Old Piedmont Eye Group LLC
• Michael Ryan Oldenburg, NP
• Victoria Christa Oldham, OTR/L
• Patrick Olise, PA
• Randy Louis Oliver, CSA
• Robert Ollins
• Andrew Scott Olsen, MD
• Carolyn Olsen, LCSW

• Professional Counselor in Marietta, GA
• Providers in Marietta, GA by specialty
• Professional Counselor in Georgia

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