Active NPI
Timothy Mallory, LMFT-A
- Marriage & Family Therapist
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 85000448A
- Practice address
- 447 E 38TH St
Indianapolis, IN 46205-2622 - Phone
- (815) 751-2861
- NPI assigned
- Nov 4, 2021
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 85000448A | IN | Primary |
Addresses
Primary practice location
447 E 38TH St
Indianapolis, IN 46205-2622
Mailing address
PO Box 637764
Cincinnati, OH 45263-7764
Phone (317) 880-3939
Other practice location 1
720 Eskenazi Ave
Indianapolis, IN 46202-5187
Phone (317) 880-7666
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Marriage and Family Therapist
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
720 Eskeanzi Ave
Indianapolis, IN 46202-5166
Phone (317) 880-0000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 85000448A | IN | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Health and Hospital Corporation of Marion County | Current | Accepting new patients | |
| Counseling at the Green House | Current | Accepting new patients | |
| The Health and Hospital Corporation of Marion County | Current | Accepting new patients |
Locations
447 E 38th St
Indianapolis, IN 46205
Phone (317) 455-3152
5610 Crawfordsville Rd
Ste 2201
Indianapolis, IN 46224
Phone (317) 244-2792
1700 N Illinois St
Indianapolis, IN 46202
Phone (317) 554-5700
3171 N Meridian St
Indianapolis, IN 46208
Phone (317) 941-5003
720 Eskenazi Ave
Indianapolis, IN 46202
Phone (317) 880-0000
720 Eskenazi Ave
Bldg 5TH
Indianapolis, IN 46202
Phone (317) 880-3818
Organizations & group practices 3
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.
-
- Nurse Practitioner
- Indianapolis, IN
- NPI 1104027879
-
- Counselor
- Indianapolis, IN
- NPI 1942896428
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Indianapolis, IN
- NPI 1871311779
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758672000000",
"number": "1992460943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 637764",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452637764",
"telephone_number": "317-880-3939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "447 E 38TH ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462052622",
"telephone_number": "815-751-2861"
}
],
"practiceLocations": [
{
"address_1": "720 Eskenazi Ave",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462025187",
"country_code": "US",
"telephone_number": "317-880-7666",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MALLORY",
"first_name": "TIMOTHY",
"credential": "LMFT-A",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-11-04",
"last_updated": "2025-09-24",
"certification_date": "2025-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "IN",
"license": "85000448A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.