Venus Danielle Malloy · Mental Health Counselor

2817 Reilly Rd Stop A, Mcxc Asap, Fayetteville, NC 28310-7301

Overview

Venus Danielle Malloy is a Mental Health Counselor practicing in Fayetteville, North Carolina. The National Provider Identifier (NPI) is #1336449776, which was assigned on November 2, 2010, and the registration record was last updated on November 2, 2010. The practitioner's main practice location is at 2817 Reilly Rd Stop A, Mcxc Asap, Fayetteville, NC 28310-7301; the contact telephone number is 9109079666. The primary taxonomy of Venus Danielle Malloy is Mental Health Counselor (101YM0800X), with specialization in Mental Health. Venus Danielle Malloy is licensed to practice in the state of North Carolina (#203136), North Carolina (#A8214).

Provider Information

NPI 1336449776
Entity Type Individual
Provider Name MS. VENUS DANIELLE MALLOY
Gender Female
Credential MS, NCC, LPCA
Practice Address 2817 Reilly Rd Stop A
Mcxc Asap
Fayetteville
NC 28310-7301
Practice Telephone 9109079666
Mailing Address 910b Willow St
Fayetteville
NC 28303-4090
Mailing Telephone 3362530037
Enumeration Date 2010-11-02
Last Update Date 2010-11-02
Is Sole Proprietor N

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
N101Y00000XCounselor203136NC
Y101YM0800XCounselorMental HealthA8214NC

Taxonomy Information

Primary Taxonomy

Code 101YM0800X
Taxonomy Mental Health Counselor
Classification Counselor
Specialization Mental Health
Grouping Behavioral Health & Social Service Providers
Definition: Definition to come...

Other Taxonomy

Code 101Y00000X
Taxonomy Counselor
Classification Counselor
Grouping Behavioral Health & Social Service Providers
Definition: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

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Location Information

Street Address 2817 REILLY RD STOP A
MCXC ASAP
City FAYETTEVILLE
State NC
Zip Code 28310-7301
Country US

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
John Kevin Fitzpatrick 2817 Reilly Rd, Fort Bragg, NC 28310-7301Military Health Care Provider2020-06-01
Jackie Hammelman 2817 Reilly Road Bldg 4-3219, Womack Army Medical Center Service Member Behavioral He, Ft. Bragg, NC 28310-7301Clinical Psychologist2013-05-10
Gary Hazlett 2817 Reilly St, Fort Bragg, NC 28310-7301Clinical Psychologist2023-07-12
Travis Johnson Womack Army Medical Ctr, Fort Bragg, NC 28310-7301Physician Assistant2014-02-24
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Kathy Dianne Hutchinson 2817 Reilly Road Mcxc- Dsws, Womack Army Medical Center, Fort Bragg, NC 28310-7301Clinical Social Worker2006-10-20
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Dietra Montalvo Mcxc Dpc Mho, Fort Bragg, NC 28310-7301Clinical Social Worker2006-01-23
Cassandra M Bagwell Womack Army Medical Center Mcxc-Dsw, 2817 Reilly Road, Fort Bragg, NC 28310-7301Clinical Social Worker2006-07-24
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Provider NameAddressTaxonomyEnumeration Date
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.