MALLORY EVANS
NPI 1902155237
Counselor in Harrisburg, PA

Active since August 31, 2012Opted out of Medicare · through Aug 26, 2026
2405 N FRONT ST, HARRISBURG, PA 17110(484) 928-0709(717) 763-8653 Get Directions Write a Review

NPPES record last updated: March 13, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mallory Evans NPPES

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

MALLORY EVANS (NPI 1902155237) is an individual counselor in Harrisburg, Pennsylvania and active in the NPI registry since August 2012. She has opted out of Medicare through August 26, 2026.

NPPES Registry Identity

NPI1902155237
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMALLORY EVANS
Location Address2405 N FRONT STHarrisburg, PA 17110-1155
Mailing Address212 Fox DrMechanicsburg, PA 17050-2515 · (610) 772-5082
Fax(717) 763-8653
Sole ProprietorNo
Enumeration DateAugust 31, 2012
Last NPPES UpdateMarch 13, 2024
NPPES CertifiedMarch 13, 2024
NPI 1902155237 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
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.
2405 N FRONT ST, Harrisburg, PA 17110

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Mallory Evans has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 26, 2024 through August 26, 2026.

Opt-Out Effective DateAugust 26, 2024
Opt-Out In Effect ThroughAugust 26, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 4

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

Counselor (Mental Health)
2405 N FRONT ST
HARRISBURG, PA 17110
Psychologist (Clinical)
2405 N FRONT ST
HARRISBURG, PA 17110
Psychologist (Clinical)
2405 N FRONT ST
HARRISBURG, PA 17110
Counselor (Professional)
2405 N FRONT ST
HARRISBURG, PA 17110

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 Evans's NPI number?

The NPI number for Mallory Evans is 1902155237. It was assigned to this individual provider in the NPPES registry on August 31, 2012.

Where is Mallory Evans located?

Mallory Evans practices at 2405 N Front St, Harrisburg, PA 17110. The listed phone number is (484) 928-0709.

What is Mallory Evans's specialty?

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

Is Mallory Evans enrolled in Medicare?

No. Mallory Evans has opted out of Medicare through August 26, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Mallory Evans was last updated on March 13, 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.