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MALLORY ROSE JEFFERSON LPC, MA
NPI 1184320129
Counselor - Professional in Colorado Springs, CO

Active since February 01, 2023
617 N 17TH ST STE 230, COLORADO SPRINGS, CO 80904(719) 315-4587 Get Directions Write a Review

NPPES record last updated: August 31, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 13, 2023, Feb 1, 2023 (2 updates tracked since 2023).

About Mallory Rose Jefferson Lpc, Ma NPPES

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

MALLORY ROSE JEFFERSON LPC, MA (NPI 1184320129) is an individual professional provider in Colorado Springs, Colorado, licensed in Colorado (0020928) and active in the NPI registry since February 2023.

NPPES Registry Identity

NPI1184320129
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMALLORY ROSE JEFFERSONCredential: LPC, MA
Location Address617 N 17TH ST STE 230Colorado Springs, CO 80904-3577
Mailing Address1518 Holmes DrColorado Springs, CO 80909-2522 · (719) 210-6787
Phone(719) 315-4587
Sole ProprietorNo
Enumeration DateFebruary 1, 2023
Last NPPES UpdateAugust 31, 20242 updates tracked since enumeration
NPPES CertifiedAugust 31, 2024
✔ NPI 1184320129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in CO · 0020928
617 N 17TH ST STE 230, Colorado Springs, CO 80904
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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.

IGNITED SOUL INTEGRATED THERAPIES
Counselor (Mental Health)
617 N 17TH ST STE 230
COLORADO SPRINGS, CO 80904
El Paso County (719) 888-9747
ZINA ORTIZ
Counselor (Mental Health)
617 N 17TH ST STE 230
COLORADO SPRINGS, CO 80904
El Paso County (719) 223-3261
MS. ELISE A MILLER LPC
Counselor (Professional)
617 N 17TH ST STE 230
COLORADO SPRINGS, CO 80904
El Paso County (719) 357-5121
MR. JORDAN MCQUADE COBURN LMT, CNMT
Massage Therapist
617 N 17TH ST STE 230
COLORADO SPRINGS, CO 80904
El Paso County (719) 357-9822

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 Jefferson's NPI number?

The NPI number for Mallory Jefferson is 1184320129. It was assigned to this individual provider in the NPPES registry on February 1, 2023.

Where is Mallory Jefferson located?

Mallory Jefferson practices at 617 N 17th St Ste 230, Colorado Springs, CO 80904. The listed phone number is (719) 315-4587.

What is Mallory Jefferson's specialty?

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

When was this NPI record last updated?

The NPPES record for Mallory Jefferson was last updated on August 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.