MALLORY WETHERINGTON LPC
NPI 1053050443
Counselor - Professional in Anchorage, AK

Q: What is Mallory Wetherington's NPI number?

The NPI number for Mallory Wetherington is 1053050443. It was assigned to this individual provider in the NPPES registry on June 2, 2022.

Q: What is Mallory Wetherington's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Active since June 02, 2022PECOS Enrolled

4320 DIPLOMACY DR, ANCHORAGE, AK 99508(907) 729-3300 Get Directions Write a Review

NPPES record last updated: January 29, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Mallory Wetherington Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MALLORY WETHERINGTON LPC (NPI 1053050443) is an individual professional provider in Anchorage, Alaska, licensed in Alaska (177739) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053050443

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameMALLORY WETHERINGTONCredential: LPC

Location Address4320 DIPLOMACY DRAnchorage, AK 99508-5925

Mailing Address7033 E Tudor RdAnchorage, AK 99507-1262 · (907) 729-9989 · Fax (907) 729-5180

Phone(907) 729-3300

Sole ProprietorNo

Enumeration DateJune 2, 2022

Last NPPES UpdateJanuary 29, 2025

NPPES CertifiedJanuary 29, 2025

✔ NPI 1053050443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in AK · 177739

Also ListedCounselorTaxonomy 101Y00000X

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

4320 DIPLOMACY DR, Anchorage, AK 99508

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mallory Wetherington Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EDWARD WASHINGTON II

Counselor (Mental Health)

4320 DIPLOMACY DR
ANCHORAGE, AK 99508

Anchorage Municipality (907) 729-0000

HEIDI GORDON CRS

Community Health Worker

4320 DIPLOMACY DR
ANCHORAGE, AK 99508

Anchorage Municipality (907) 729-3300

KRISTINA BALLINGER COHEN PHARMD

Pharmacist

4320 DIPLOMACY DR, ANMC PRIMARY CARE CENTER PHARMACY
ANCHORAGE, AK 99508

Anchorage Municipality (907) 729-8874

SHANNON CHASE CHAP

Community Health Worker

4320 DIPLOMACY DR
ANCHORAGE, AK 99508

Anchorage Municipality (907) 729-4955

MARY RENEE SPATAFORE PHARMD, RPH

Pharmacist

4320 DIPLOMACY DR
ANCHORAGE, AK 99508

Anchorage Municipality (907) 729-2159

RYAN T. MCWILLIAMS MD

Family Medicine

4320 DIPLOMACY DR, SUITE 1191
ANCHORAGE, AK 99508

Anchorage Municipality (907) 729-6321

SOUTHCENTRAL FOUNDATION

General Acute Care Hospital

4320 DIPLOMACY DR
ANCHORAGE, AK 99508

Anchorage Municipality (907) 729-3300

SUSANNA PETRIE RN

Registered Nurse

4320 DIPLOMACY DR
ANCHORAGE, AK 99508

Anchorage Municipality (907) 729-3316

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mallory Wetherington's NPI number?

The NPI number for Mallory Wetherington is 1053050443. It was assigned to this individual provider in the NPPES registry on June 2, 2022.

Where is Mallory Wetherington located?

Mallory Wetherington practices at 4320 Diplomacy Dr, Anchorage, AK 99508. The listed phone number is (907) 729-3300.

What is Mallory Wetherington's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Mallory Wetherington enrolled in Medicare?

Yes. Mallory Wetherington is registered in the Medicare PECOS enrollment system.

What insurance does Mallory Wetherington accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Mallory Wetherington as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mallory Wetherington was last updated on January 29, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.