MALLORY SHORT MS
NPI 1346703964
Counselor - Mental Health in Sturgeon Bay, WI

Q: What is Mallory Short's NPI number?

The NPI number for Mallory Short is 1346703964. It was assigned to this individual provider in the NPPES registry on April 10, 2019. The provider is also known as Mallory Hall.

Q: What is Mallory Short's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Mallory Short was last updated on March 23, 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.

Active since April 10, 2019

3320 PARK DR, STURGEON BAY, WI 54235(920) 255-8068 Get Directions Write a Review

NPPES record last updated: March 23, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Mar 23, 2023, Apr 10, 2019 (2 updates tracked since 2019).

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About Mallory Short Ms NPPES

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

MALLORY SHORT MS (NPI 1346703964) is an individual mental health provider in Sturgeon Bay, Wisconsin, licensed in Wisconsin (5858-125) and active in the NPI registry since April 2019. She maintains a secondary practice location in Sturgeon Bay.

NPPES Registry Identity

NPI1346703964

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameMALLORY SHORTCredential: MS

Location Address3320 PARK DRSturgeon Bay, WI 54235-2325

Mailing Address624 N 3rd AveSturgeon Bay, WI 54235-2325 · (920) 255-8068

Phone(920) 255-8068

Sole ProprietorYes

Enumeration DateApril 10, 2019

Last NPPES UpdateMarch 23, 20232 updates tracked since enumeration

NPPES CertifiedMarch 22, 2023

✔ NPI 1346703964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in WI · 5858-125

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 5858-125 (WI)

3320 PARK DR, Sturgeon Bay, WI 54235

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Other Names 1

Former Name (1)Mallory Hall

Secondary Practice Location 1

Location 11414 Rhode Island StSturgeon BAy, WI 54235-2325 · Phone (920) 255-8068

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare), Medica, Network Health and more.Insurance ›

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 Short's NPI number?

The NPI number for Mallory Short is 1346703964. It was assigned to this individual provider in the NPPES registry on April 10, 2019. The provider is also known as Mallory Hall.

Where is Mallory Short located?

Mallory Short practices at 3320 Park Dr, Sturgeon Bay, WI 54235. The listed phone number is (920) 255-8068.

What is Mallory Short's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

What insurance does Mallory Short accept?

Health plans from CareSource (Common Ground Healthcare), Medica, Network Health and UnitedHealthcare list Mallory Short 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 Short was last updated on March 23, 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.