Active NPI
Kathleen Karr Mallow, M.S., M.ED., LPC
- Professional Counselor
- Pinehurst, NC
National Provider Identifier
1972807931
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 8350
- Practice address
- 305 Page Rd N Ste 6
Pinehurst, NC 28374-4619 - Phone
- (910) 722-2049
- NPI assigned
- Jan 6, 2011
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 8350 | NC | Primary |
Addresses
Primary practice location
305 Page Rd N Ste 6
Pinehurst, NC 28374-4619
Mailing address
1500 Union Church Rd
Cameron, NC 28326-7948
Phone (910) 783-6444
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
- Credentials
- Master of Education, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8350 | NC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508889600000",
"number": "1972807931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 UNION CHURCH RD",
"city": "CAMERON",
"state": "NC",
"postal_code": "283267948",
"telephone_number": "910-783-6444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 PAGE RD N STE 6",
"city": "PINEHURST",
"state": "NC",
"postal_code": "283744619",
"telephone_number": "910-722-2049"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALLOW",
"first_name": "KATHLEEN",
"middle_name": "KARR",
"credential": "M.S., M.ED., LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-01-06",
"last_updated": "2017-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "8350",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pinehurst, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.