Organization Active NPI

Maloney Counseling LLC

  • Adult Mental Health Clinic/Center
  • Lafayette, LA
National Provider Identifier
1992272942
Registry record updated Oct 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
MALONEY COUNSELING LLC
Practice address
143 Ridgeway Dr Ste 121
Lafayette, LA 70503-3410
Phone
(504) 722-7932
Fax
(337) 443-2890
NPI assigned
Oct 29, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2018

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

Authorized official

Name
John Martin Maloney, LCSWNPI 1013068683
Title
Owner/Clinician
Phone
(504) 722-7932

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

143 Ridgeway Dr Ste 121
Lafayette, LA 70503-3410

Mailing address

154 Vital St
Lafayette, LA 70506-5460
Phone (504) 722-7932

Other names 1

  • John Maloney LCSW-BACS Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181120002276 LA Part B Supplier - Clinic/Group Practice 1850645367 Receives reassigned benefits from 1 practitioner
Practice locations: New Orleans, LA

National Provider Directory

National Provider Directory

Locations

143 Ridgeway Dr
Ste 313
Lafayette, LA 70503
Phone (337) 247-7351

143 Ridgeway Dr
Ste 121
Lafayette, LA 70503
Phone (504) 722-7932

4919 Canal St
Ste 201
New Orleans, LA 70119
Phone (504) 722-7932

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1540771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540771200000",
    "number": "1992272942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 VITAL ST",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705065460",
            "telephone_number": "504-722-7932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 RIDGEWAY DR STE 121",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705033410",
            "telephone_number": "504-722-7932",
            "fax_number": "337-443-2890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALONEY COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-29",
        "last_updated": "2018-10-29",
        "status": "A",
        "authorized_official_last_name": "MALONEY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "OWNER/CLINICIAN",
        "authorized_official_telephone_number": "504-722-7932",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "John Maloney LCSW-BACS",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "John Maloney LCSW-BACS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lafayette, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.