MALLORY TANIS
NPI 1457958092
Counselor - Mental Health in Lake Orion, MI

Active since October 06, 2020
189 W CLARKSTON RD, LAKE ORION, MI 48362(844) 642-9273 Get Directions Write a Review

NPPES record last updated: October 6, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mallory Tanis NPPES

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

MALLORY TANIS (NPI 1457958092) is an individual mental health provider in Lake Orion, Michigan, licensed in Michigan (6401018504) and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1457958092
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMALLORY TANIS
Location Address189 W CLARKSTON RDLake Orion, MI 48362-2892
Mailing AddressPo Box 18Lake Orion, MI 48361-0018
Sole ProprietorYes
Enumeration DateOctober 6, 2020
NPPES CertifiedOctober 6, 2020
NPI 1457958092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in MI · 6401018504
189 W CLARKSTON RD, Lake Orion, MI 48362

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 7

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

Counselor (Mental Health)
189 W CLARKSTON RD, #18
LAKE ORION, MI 48362
Social Worker (Clinical)
189 W CLARKSTON RD, BOX 18
LAKE ORION, MI 48362
Psychologist (Counseling)
189 W CLARKSTON RD
LAKE ORION, MI 48362
Social Worker (Clinical)
189 W CLARKSTON RD, #18
LAKE ORION, MI 48362
Counselor (Mental Health)
189 W CLARKSTON RD
LAKE ORION, MI 48362
Mechanotherapist
189 W CLARKSTON RD, SUITE15
LAKE ORION, MI 48362
Psychologist (Counseling)
189 W CLARKSTON RD
LAKE ORION, MI 48362

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 Tanis's NPI number?

The NPI number for Mallory Tanis is 1457958092. It was assigned to this individual provider in the NPPES registry on October 6, 2020.

Where is Mallory Tanis located?

Mallory Tanis practices at 189 W Clarkston Rd, Lake Orion, MI 48362. The listed phone number is (844) 642-9273.

What is Mallory Tanis's specialty?

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

What insurance does Mallory Tanis accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community, Priority Health and UnitedHealthcare list Mallory Tanis 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 Tanis was last updated on October 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.