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MALLORY VREDEVELD M.A., L.P.C
NPI 1831536051
Counselor in Jackson, MI

Active since May 29, 2013
1200 N WEST AVE, JACKSON, MI 49202(517) 796-4564 Get Directions Write a Review

NPPES record last updated: April 23, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mallory Vredeveld M.a., L.p.c NPPES

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

MALLORY VREDEVELD M.A., L.P.C (NPI 1831536051) is an individual counselor in Jackson, Michigan, licensed in Michigan (6401012772) and active in the NPI registry since May 2013.

NPPES Registry Identity

NPI1831536051
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMALLORY VREDEVELDCredential: M.A., L.P.C
Location Address1200 N WEST AVEJackson, MI 49202-2179
Mailing Address1200 N West AveJackson, MI 49202-2179 · (517) 796-4564
Phone(517) 796-4564
Sole ProprietorNo
Enumeration DateMay 29, 2013
Last NPPES UpdateApril 23, 2026
NPPES CertifiedApril 23, 2026
✔ NPI 1831536051 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in MI · 6401012772
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
1200 N WEST AVE, Jackson, MI 49202
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Other Providers at the Same Location NPPES 20

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

DEVIN DOMBROWSKI LLMSW
Social Worker
1200 N WEST AVE, SUITE 400
JACKSON, MI 49202
Jackson County (517) 780-3316
MRS. ROSEMARY JORDON BEALS LPC
Counselor (Mental Health)
1200 N WEST AVE
JACKSON, MI 49202
Jackson County (517) 783-5334
ALISON RENEE RUTTLE BSW
Social Worker
1200 N WEST AVE, SUITE 600
JACKSON, MI 49202
Jackson County (517) 789-1215
MR. MICHAEL LEE FREYTAG MA, LPC
Counselor (Mental Health)
1200 N WEST AVE, SUITE 400
JACKSON, MI 49202
Jackson County (517) 474-3793
MELANIE HORTON RD
Dietitian, Registered
1200 N WEST AVE, SUITE 300
JACKSON, MI 49202
Jackson County (517) 789-1234
CHRISTIAN L MCCASLIN LPC, MA
Counselor (Mental Health)
1200 N WEST AVE, SUITE 400
JACKSON, MI 49202
Jackson County (517) 780-3336
AMANDA ERIN MELLIS
Case Manager/Care Coordinator
1200 N WEST AVE
JACKSON, MI 49202
Jackson County (800) 248-8288
BRIANNE DUNN
Registered Nurse
1200 N WEST AVE
JACKSON, MI 49202
Jackson County (517) 789-1209

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 Vredeveld's NPI number?

The NPI number for Mallory Vredeveld is 1831536051. It was assigned to this individual provider in the NPPES registry on May 29, 2013.

Where is Mallory Vredeveld located?

Mallory Vredeveld practices at 1200 N West Ave, Jackson, MI 49202. The listed phone number is (517) 796-4564.

What is Mallory Vredeveld's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Mallory Vredeveld was last updated on April 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.