NPIMap

Individual provider Active NPI

Marjorie Malone, PHD, LPCC

  • Professional Counselor
  • Taos, NM
National Provider Identifier
1831378074
Registry record updated Jul 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0096621 Issued in NM
Practice address
413 Sipapu Road
6952
Taos, NM 87571
Phone
(575) 758-5857
Fax
(575) 758-2832
NPI assigned
Oct 24, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2009

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CSAC II 169 CA
Mental Health Counselor 101YM0800X LPCC 96621 NM
Professional Counselor 101YP2500X LPCC 96621 NM
Psychoanalyst 102L00000X LPCC 96621 NM
Psychoanalyst 102L00000X LMFT 43969 CA
Marriage & Family Therapist 106H00000X LMFT 43969 CA
Professional Counselor 101YP2500X 0096621 NM Primary

Addresses

Primary practice location

413 Sipapu Road
6952
Taos, NM 87571

Mailing address

PO Box 2070
209 Las Cruces Lane
Taos, NM 87571-2070
Phone (505) 758-1565

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
CSAC II 169CAMDAddiction (Substance Use Disorder) Counselor
LPCC 96621NMMDMental Health Counselor
0096621NMMDProfessional Counselor
LPCC 96621NMMDProfessional Counselor
LMFT 43969CAMDPsychoanalyst

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-County Community Services, Inc 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.

NPI Registry JSON

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

{
    "created_epoch": "1193184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248307200000",
    "number": "1831378074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2070",
            "address_2": "209 LAS CRUCES LANE",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "875712070",
            "telephone_number": "505-758-1565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 SIPAPU ROAD",
            "address_2": "6952",
            "city": "TAOS",
            "state": "NM",
            "postal_code": "87571",
            "telephone_number": "575-758-5857",
            "fax_number": "575-758-2832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALONE",
        "first_name": "MARJORIE",
        "name_prefix": "Ms.",
        "credential": "PHD, LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-24",
        "last_updated": "2009-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "CSAC II   169",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "LPCC  96621",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "LPCC 96621",
            "primary": false
        },
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": "NM",
            "license": "LPCC 96621",
            "primary": false
        },
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": "CA",
            "license": "LMFT  43969",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT  43969",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "0096621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taos, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2009; 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.