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MOUSUMI MALLIK MA
NPI 1326514308
Counselor - Professional in Maumee, OH

Active since October 17, 2018PECOS EnrolledAccepts Medicare Assignment
2211 RIVER RD, MAUMEE, OH 43537(419) 740-3052 Get Directions Write a Review

NPPES record last updated: May 18, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 18, 2023, Apr 13, 2023, Oct 17, 2018 (3 updates tracked since 2018).

About Mousumi Mallik Ma NPPES

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

MOUSUMI MALLIK MA (NPI 1326514308) is an individual professional provider in Maumee, Ohio, licensed in Ohio (E.2303491) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Bowling Green, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1326514308
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMOUSUMI MALLIKCredential: MA
Location Address2211 RIVER RDMaumee, OH 43537-3637
Mailing Address31 Tanglewood LnBowling Green, OH 43402-4478 · (419) 410-7874
Phone(419) 740-3052
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateOctober 17, 2018
Last NPPES UpdateMay 18, 20233 updates tracked since enumeration
NPPES CertifiedMay 18, 2023
✔ NPI 1326514308 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 OH · E.2303491
2211 RIVER RD, Maumee, OH 43537
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Secondary Practice Location 1

Location 131 Tanglewood LnBowling Green, OH 43402-4478 · Phone (419) 410-7874

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mousumi Mallik Ma is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8426498122
PECOS Enrollment IDI20240429001723
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 15

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

FAIR CLINICAL SERVICES, LLC
Psychologist
2211 RIVER RD
MAUMEE, OH 43537
Lucas County (419) 740-3052
MELISSA FELICE RUDD MA
Student in an Organized Health Care Education/Training Program
2211 RIVER RD
MAUMEE, OH 43537
Lucas County (419) 740-3052
JESSICA KITCHIN LICDC-CS, LPCC
Counselor (Professional)
2211 RIVER RD
MAUMEE, OH 43537
Lucas County (419) 724-2264
DR. CHRISTINE A. FAIR LPC, PHD
Psychologist (Clinical)
2211 RIVER RD
MAUMEE, OH 43537
Lucas County (419) 740-3052
DR. DAVID ALAN CISLO PH.D.
Psychologist (Clinical)
2211 RIVER RD
MAUMEE, OH 43537
Lucas County (419) 897-7877
NICOLE ANNE HOROSZEWSKI QMHS 3
Case Manager/Care Coordinator
2211 RIVER RD
MAUMEE, OH 43537
Lucas County (419) 724-2264
LISA MARIE PIETRAS LPC
Counselor (Professional)
2211 RIVER RD
MAUMEE, OH 43537
Lucas County (419) 720-3052
FANELL WILLIAMS MSW, LSW
Social Worker (Clinical)
2211 RIVER RD
MAUMEE, OH 43537
Lucas County (419) 740-3052

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 Mousumi Mallik's NPI number?

The NPI number for Mousumi Mallik is 1326514308. It was assigned to this individual provider in the NPPES registry on October 17, 2018.

Where is Mousumi Mallik located?

Mousumi Mallik practices at 2211 River Rd, Maumee, OH 43537. The listed phone number is (419) 740-3052.

What is Mousumi Mallik's specialty?

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

Is Mousumi Mallik enrolled in Medicare?

Yes. Mousumi Mallik is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mousumi Mallik accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and McLaren Health Plan Community and 6 other insurers list Mousumi Mallik 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 Mousumi Mallik was last updated on May 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.