MARTY MALCOLM
NPI 1093460578
Counselor - Addiction (Substance Use Disorder) in Ishpeming, MI

Active since February 14, 2022
97 S 4TH ST STE C, ISHPEMING, MI 49849(906) 228-9699 Get Directions Write a Review

NPPES record last updated: February 14, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Marty Malcolm NPPES

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

MARTY MALCOLM (NPI 1093460578) is an individual addiction (substance use disorder) provider in Ishpeming, Michigan and active in the NPI registry since February 2022.

NPPES Registry Identity

NPI1093460578
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMARTY MALCOLM
Location Address97 S 4TH ST STE CIshpeming, MI 49849-2168
Mailing Address97 S 4th St Ste CIshpeming, MI 49849-2168 · (906) 228-9699
Sole ProprietorNo
Enumeration DateFebruary 14, 2022
NPPES CertifiedFebruary 14, 2022
NPI 1093460578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
97 S 4TH ST STE C, Ishpeming, MI 49849

Other Providers at the Same Location NPPES 4

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

Counselor (Addiction (Substance Use Disorder))
97 S 4TH ST STE C
ISHPEMING, MI 49849
Counselor (Professional)
97 S 4TH ST STE C
ISHPEMING, MI 49849
Counselor (Addiction (Substance Use Disorder))
97 S 4TH ST STE C
ISHPEMING, MI 49849
Counselor (Addiction (Substance Use Disorder))
97 S 4TH ST STE C
ISHPEMING, MI 49849

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 Marty Malcolm's NPI number?

The NPI number for Marty Malcolm is 1093460578. It was assigned to this individual provider in the NPPES registry on February 14, 2022.

Where is Marty Malcolm located?

Marty Malcolm practices at 97 S 4th St Ste C, Ishpeming, MI 49849. The listed phone number is (906) 228-9699.

What is Marty Malcolm's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Marty Malcolm was last updated on February 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.