Active NPI
Mallory Jacqueline Mickel
- Mental Health Counselor
- Monterey, CA
National Provider Identifier
1841558095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 343 Dela Vina Ave
Monterey, CA 93940-3974 - Phone
- (831) 647-3000
- Fax
- (831) 647-3008
- NPI assigned
- Apr 25, 2012
- 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 | Primary |
Addresses
Primary practice location
343 Dela Vina Ave
Monterey, CA 93940-3974
Mailing address
1143 7TH St
Apt. 1
Monterey, CA 93940-3656
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335312000000",
"number": "1841558095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1143 7TH ST",
"address_2": "APT. 1",
"city": "MONTEREY",
"state": "CA",
"postal_code": "939403656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "343 DELA VINA AVE",
"city": "MONTEREY",
"state": "CA",
"postal_code": "939403974",
"telephone_number": "831-647-3000",
"fax_number": "831-647-3008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICKEL",
"first_name": "MALLORY",
"middle_name": "JACQUELINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-25",
"last_updated": "2012-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Monterey, CA
- Michael J Herhusky, MD Inc.
- Michael K Lewis, DDS, Inc & Ryan R Lloyd, DMD, Inc-a Partnership
- John Andrew Michel Ruddy, M.D.
- Kenny Tokuji Michioka
- Colby Beth Mickartz, AG-ACNP
- Marisa Suzanna Mijares, LAC
- Mikko Christopher Helenius MD
- Kathleen Lynne Milano, D.P.T.
- Antonella Milans
- Milestone Family Counseling, Professional Corporation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.