1. Home
  2. Directory
  3. North Carolina
  4. Raleigh
  5. Counselor
  6. NPI Profile

MITCHELL SHANE MALLARD LMHC-S
NPI 1902490980
Counselor - Mental Health in Raleigh, NC

Active since February 22, 2021
8406 SIX FORKS RD STE 104, RALEIGH, NC 27615(919) 424-6045(617) 807-0958 Get Directions Write a Review

NPPES record last updated: February 22, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mitchell Shane Mallard Lmhc-s NPPES

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

MITCHELL SHANE MALLARD LMHC-S (NPI 1902490980) is an individual mental health provider in Raleigh, North Carolina, licensed in North Carolina (S8258) and active in the NPI registry since February 2021.

NPPES Registry Identity

NPI1902490980
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMITCHELL SHANE MALLARDCredential: LMHC-S
Location Address8406 SIX FORKS RD STE 104Raleigh, NC 27615-3075
Mailing Address1000 Jefferson St Ste 2cLynchburg, VA 24504-1724
Phone(919) 424-6045
Fax(617) 807-0958
Sole ProprietorNo
Enumeration DateFebruary 22, 2021
NPPES CertifiedFebruary 22, 2021
✔ NPI 1902490980 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 NC · S8258
8406 SIX FORKS RD STE 104, Raleigh, NC 27615
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, CareSource, Oscar Health Maintenance Organization of Florida and more.Insurance ›

Other Providers at the Same Location NPPES 12

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

THRIVEWORKS CLINICAL - NORTH CAROLINA PC
Counselor (Mental Health)
8406 SIX FORKS RD STE 104
RALEIGH, NC 27615
Wake County (919) 424-6045
JAKE BRADLEY LAMERS LCMHC
Counselor (Mental Health)
8406 SIX FORKS RD STE 104
RALEIGH, NC 27615
Wake County (919) 642-4857
DR. ATIA JONTE WISE LCMHC
Counselor (Mental Health)
8406 SIX FORKS RD STE 104
RALEIGH, NC 27615
Wake County (919) 373-2868
MICHAEL BLAISE MARCINOWSKI MA, LCMHC, NCC, CCTP
Counselor (Mental Health)
8406 SIX FORKS RD STE 104
RALEIGH, NC 27615
Wake County (973) 800-2817
JASMIN ROSELEE CARMONA MFT PHD
Marriage & Family Therapist
8406 SIX FORKS RD STE 104
RALEIGH, NC 27615
Wake County (919) 606-7723
GEORLEENA ELSIE DOUGLAS LCMHC
Counselor (Mental Health)
8406 SIX FORKS RD STE 104
RALEIGH, NC 27615
Wake County (919) 642-4857
DR. THERESA ANNE COOGAN LMHCA, NCC, NCSC
Counselor (Mental Health)
8406 SIX FORKS RD STE 104
RALEIGH, NC 27615
Wake County (919) 642-4857
MIKAYLA FOSKEY
Social Worker (Clinical)
8406 SIX FORKS RD STE 104
RALEIGH, NC 27615
Wake County (855) 284-7483

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 Mitchell Mallard's NPI number?

The NPI number for Mitchell Mallard is 1902490980. It was assigned to this individual provider in the NPPES registry on February 22, 2021.

Where is Mitchell Mallard located?

Mitchell Mallard practices at 8406 Six Forks Rd Ste 104, Raleigh, NC 27615. The listed phone number is (919) 424-6045.

What is Mitchell Mallard's specialty?

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

What insurance does Mitchell Mallard accept?

Health plans from Blue Cross and Blue Shield of NC, CareSource, Oscar Health Maintenance Organization of Florida, Providence Health Plan and UnitedHealthcare list Mitchell Mallard 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 Mitchell Mallard was last updated on February 22, 2021. 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.