EBONY MALLARD LPC
NPI 1942560412
Counselor - Professional in Brookhaven, GA
About Ebony Mallard Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EBONY MALLARD LPC (NPI 1942560412) is an individual professional provider in Brookhaven, Georgia, licensed in Georgia (LPC006830) and active in the NPI registry since May 2012. She has opted out of Medicare through January 1, 2028.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Ebony Mallard Lpc 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 January 1, 2024 through January 1, 2028.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BROOKHAVEN, GA 30329
BROOKHAVEN, GA 30329
BROOKHAVEN, GA 30329
BROOKHAVEN, GA 30329
BROOKHAVEN, GA 30329
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 Ebony Mallard's NPI number?
The NPI number for Ebony Mallard is 1942560412. It was assigned to this individual provider in the NPPES registry on May 18, 2012.
Where is Ebony Mallard located?
Ebony Mallard practices at 2801 Buford Hwy NE Ste 501, Brookhaven, GA 30329. The listed phone number is (404) 491-0377.
What is Ebony Mallard's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Ebony Mallard enrolled in Medicare?
No. Ebony Mallard has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
What insurance does Ebony Mallard accept?
Health plans from Providence Health Plan list Ebony 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 Ebony Mallard was last updated on March 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
