Twyla Malcom, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401017765 Issued in MI

Practice address

43996 Woodward Ave Ste 5
Bloomfield Hills, MI 48302-5049

Phone

(248) 876-3893

NPI assigned

Feb 26, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1424908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1942692926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7789 KENNETT SQ",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483225012",
            "telephone_number": "248-949-0681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43996 WOODWARD AVE STE 5",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483025049",
            "telephone_number": "248-876-3893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALCOM",
        "first_name": "TWYLA",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-26",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "10630-125",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401017765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Makadsi, MD
• Erik Joseph Makie, PSY.D.
• Making It Matter Counseling, PLLC
• Sandra Lynn Makram, D.D.S.
• Rebecca Ann Malcolm, PTA
• Susan Rebecca Malott
• Callie Manasco
• Minal Ashish Manek
• Julie Manning, PSY MALLP
• Violet Kim Manning

• Professional Counselor in Bloomfield Hills, MI
• Providers in Bloomfield Hills, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; 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.