Michele D Malott, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

L3624 Issued in OR

Practice address

905 Main St
Suite 411
Klamath Falls, OR 97601-5810

Phone

(541) 850-5871

Fax

(541) 850-9430

NPI assigned

Jul 26, 2005

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821098591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 MAIN ST",
            "address_2": "SUITE 411",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976015810",
            "telephone_number": "541-850-5871",
            "fax_number": "541-850-9430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 MAIN ST",
            "address_2": "SUITE 411",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976015810",
            "telephone_number": "541-850-5871",
            "fax_number": "541-850-9430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALOTT",
        "first_name": "MICHELE",
        "middle_name": "D",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "L3624",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "L3624",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129861",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly Dean Maguire, DC
• Parker B Mah, DC
• Cynthea Kay Main
• Francisco Maldonado
• Emmanuel Malfavon, DC
• Sara Malzacher, APRN
• Bledian Mana
• Aran Michael Gonzales Manalang
• Dana Manfull, RDH
• Kathleen A Mann, CADC II

• All providers in Klamath Falls, OR
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.