Mallory Seidenstricker, LMSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

9574-M Issued in AR

Practice address

121 Commercial Dr # B
Stuttgart, AR 72160-7033

Phone

(870) 673-1633

Fax

(870) 673-1253

NPI assigned

Jul 5, 2019

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Southeast Arkansas Behavioral Healthcare System Inc

  • Community/Behavioral Health Agency
  • Pine Bluff, AR
  • NPI 1457398547
  NPD (past)
• Southeast Arkansas Behavioral Healthcare System Inc

  • Community/Behavioral Health Agency
  • Stuttgart, AR
  • NPI 1730334798
  NPD (past)

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

{
    "created_epoch": "1562284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581638400000",
    "number": "1841852233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 RIKE DR",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716033937",
            "telephone_number": "870-534-1834",
            "fax_number": "870-534-5798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 COMMERCIAL DR # B",
            "city": "STUTTGART",
            "state": "AR",
            "postal_code": "721607033",
            "telephone_number": "870-673-1633",
            "fax_number": "870-673-1253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEIDENSTRICKER",
        "first_name": "MALLORY",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-05",
        "last_updated": "2020-02-14",
        "certification_date": "2020-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "9574-M",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cordney Purcell, MHPP
• Ragan Rexall Drug
• Kayla Reed
• Gregory Alton Rhodes, CRNA
• Onequa Scott, MS
• William Dan Sessoms, DDS
• Carolyn F. Simpson, M.S., CCC-SLP
• Carrie Lee Simpson, PHARM D
• Tiffany M Sims
• Ashley Nicole Smith, RDN, LD

• Mental Health Counselor in Stuttgart, AR
• Providers in Stuttgart, AR by specialty
• Mental Health Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2020; 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.