Active NPI
Mallori S Thompson, LPC-A
- Mental Health Counselor
- Heath, TX
National Provider Identifier
1770310716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 93881
- Practice address
- 4304 Johnstown LN
Heath, TX 75126-3259 - Phone
- (469) 250-0611
- NPI assigned
- Sep 16, 2024
- Sex
- Female
- Sole proprietor
- No
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 | 93881 | TX | Primary |
Addresses
Primary practice location
4304 Johnstown LN
Heath, TX 75126-3259
Mailing address
4304 Johnstown LN
Heath, TX 75126-3259
Phone (469) 250-0611
Other names 1
- Mrs. Mallori S Thompson
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 |
|---|---|---|---|
| 93881 | TX | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726444800000",
"number": "1770310716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4304 JOHNSTOWN LN",
"city": "HEATH",
"state": "TX",
"postal_code": "751263259",
"telephone_number": "469-250-0611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4304 JOHNSTOWN LN",
"city": "HEATH",
"state": "TX",
"postal_code": "751263259",
"telephone_number": "469-250-0611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "MALLORI",
"middle_name": "S",
"name_prefix": "Mrs.",
"credential": "LPC-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-16",
"last_updated": "2024-09-16",
"certification_date": "2024-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "93881",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MALLORI",
"last_name": "THOMPSON",
"middle_name": "S",
"prefix": "MRS.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Heath, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.