Active NPI
Timothy D Mallon, LMHC
- Counselor
- Tacoma, WA
National Provider Identifier
1871763573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LH00010926
- Practice address
- 2601 70TH Ave W
Suite N
Tacoma, WA 98466 - Phone
- (253) 566-9700
- NPI assigned
- Mar 10, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | LH00010926 | WA | Primary |
Addresses
Primary practice location
2601 70TH Ave W
Suite N
Tacoma, WA 98466
Mailing address
6021 48TH Ave E
Tacoma, WA 98443
Phone (253) 566-9700
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 |
|---|---|---|---|
| LH00010926 | WA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205107200000",
"number": "1871763573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6021 48TH AVE E",
"city": "TACOMA",
"state": "WA",
"postal_code": "98443",
"telephone_number": "253-566-9700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2601 70TH AVE W",
"address_2": "SUITE N",
"city": "TACOMA",
"state": "WA",
"postal_code": "98466",
"telephone_number": "253-566-9700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALLON",
"first_name": "TIMOTHY",
"middle_name": "D",
"name_prefix": "Mr.",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-03-10",
"last_updated": "2008-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WA",
"license": "LH00010926",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.