Individual provider Active NPI

Mallory Haney Veres, LPC-MHSP

  • Mental Health Counselor
  • Nashville, TN
National Provider Identifier
1902321003
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3441 Issued in TN
Practice address
2323 21St Ave S Ste 401
Nashville, TN 37212-4930
Phone
(256) 431-6918
NPI assigned
Aug 9, 2017
Last updated
Aug 15, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 3441 TN Primary

Addresses

Primary practice location

2323 21St Ave S Ste 401
Nashville, TN 37212-4930

Mailing address

2323 21St Ave S Ste 401
Nashville, TN 37212-4930
Phone (256) 431-6918

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 4, 2025 through Feb 4, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3441TNMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
615 Counseling LLC CurrentSince Aug 27, 2023 Accepting new patients

Locations

2323 Hillsboro Rd
Ste 401
Nashville, TN 37212
Phone (615) 297-6808

4235 Hillsboro Pike
Ste 300
Nashville, TN 37215
Phone (615) 274-8400

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1502236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1902321003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 21ST AVE S STE 401",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372124930",
            "telephone_number": "256-431-6918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 21ST AVE S STE 401",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372124930",
            "telephone_number": "256-431-6918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANEY VERES",
        "first_name": "MALLORY",
        "credential": "LPC-MHSP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-09",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "3441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.