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MALLORY HASENAUER CDCA. 173136
NPI 1730723495
Peer Specialist in Coal Grove, OH

Active since November 05, 2019
323 MARION PIKE STE 3, COAL GROVE, OH 45638(740) 646-6640(866) 475-7263 Get Directions Write a Review

NPPES record last updated: May 21, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 13, 2020, Nov 5, 2019 (2 updates tracked since 2019).

About Mallory Hasenauer Cdca. 173136 NPPES

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

MALLORY HASENAUER CDCA. 173136 (NPI 1730723495) is an individual peer specialist in Coal Grove, Ohio, licensed in Ohio (APS.003696) and active in the NPI registry since November 2019.

NPPES Registry Identity

NPI1730723495
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameMALLORY HASENAUERCredential: CDCA. 173136
Location Address323 MARION PIKE STE 3Coal Grove, OH 45638-2958
Mailing Address323 Marion Pike Ste 3Coal Grove, OH 45638-2958 · (304) 544-8103 · Fax (866) 475-7263
Phone(740) 646-6640
Fax(866) 475-7263
Sole ProprietorNo
Enumeration DateNovember 5, 2019
Last NPPES UpdateMay 21, 20242 updates tracked since enumeration
NPPES CertifiedMay 21, 2024
✔ NPI 1730723495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in OH · APS.003696
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License CDCA.173136 (OH)
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
323 MARION PIKE STE 3, Coal Grove, OH 45638
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Other Providers at the Same Location NPPES 10

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

CLIFFTON ABRAMS
Counselor (Addiction (Substance Use Disorder))
323 MARION PIKE STE 3
IRONTON, OH 45638
Lawrence County (740) 646-6640
DONNA REYNOLDS LICDC 161766
Counselor (Addiction (Substance Use Disorder))
323 MARION PIKE STE 3
COAL GROVE, OH 45638
Lawrence County (740) 464-6640
MICHELLE MASSIE
Counselor (Addiction (Substance Use Disorder))
323 MARION PIKE STE 3
COAL GROVE, OH 45638
Lawrence County (740) 646-6640
SARA LYNN BEATSON CDCA
Counselor (Addiction (Substance Use Disorder))
323 MARION PIKE STE 3
COAL GROVE, OH 45638
Lawrence County (740) 646-6640
MICHELLE ALDRIDGE CMS
Case Manager/Care Coordinator
323 MARION PIKE STE 3
COAL GROVE, OH 45638
Lawrence County (740) 646-6640
KATHY ROSS CDCA
Counselor (Addiction (Substance Use Disorder))
323 MARION PIKE STE 3
COAL GROVE, OH 45638
Lawrence County (740) 646-6640
AUSTIN M ROSS CDCA.172160
Counselor (Addiction (Substance Use Disorder))
323 MARION PIKE STE 3
COAL GROVE, OH 45638
Lawrence County (740) 646-6640
MICHAEL ROSS CDCA
Counselor (Addiction (Substance Use Disorder))
323 MARION PIKE STE 3
COAL GROVE, OH 45638
Lawrence County (740) 646-6640

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 Hasenauer's NPI number?

The NPI number for Mallory Hasenauer is 1730723495. It was assigned to this individual provider in the NPPES registry on November 5, 2019.

Where is Mallory Hasenauer located?

Mallory Hasenauer practices at 323 Marion Pike Ste 3, Coal Grove, OH 45638. The listed phone number is (740) 646-6640.

What is Mallory Hasenauer's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Mallory Hasenauer was last updated on May 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.