Active NPI
Mallory Evans
- Counselor
- Harrisburg, PA
National Provider Identifier
1902155237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 2405 N Front St
Harrisburg, PA 17110-1155 - Phone
- (484) 928-0709
- Fax
- (717) 763-8653
- NPI assigned
- Aug 31, 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
2405 N Front St
Harrisburg, PA 17110-1155
Mailing address
212 Fox Dr
Mechanicsburg, PA 17050-2515
Phone (610) 772-5082
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Previously, effective Aug 26, 2024 through Aug 26, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Known Counseling and Consulting, LLC | Current | Accepting new patients |
Locations
3461 Market St
Ste 104
Camp Hill, PA 17011
Phone (717) 219-3986
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.
-
- Professional Counselor
- Camp Hill, PA
- NPI 1619736618
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710288000000",
"number": "1902155237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "212 FOX DR",
"city": "MECHANICSBURG",
"state": "PA",
"postal_code": "170502515",
"telephone_number": "610-772-5082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2405 N FRONT ST",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171101155",
"telephone_number": "484-928-0709",
"fax_number": "717-763-8653"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "MALLORY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-31",
"last_updated": "2024-03-13",
"certification_date": "2024-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Harrisburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.