AUSTIN JEROME MALONE (NPI# 1023504198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023504198 |
| Entity Type | Individual |
| Full Name | AUSTIN JEROME MALONE |
| Credential | LMHC |
| Practice Address |
4905 Melton Rd Gary IN 46403-2873 |
| Mailing Address |
222 Indianapolis Blvd Ste 207 Schererville IN 46375-1275 |
| Practice Telephone | 2198080793 |
| Practice Fax Number | 7653740761 |
| Mailing Telephone | 2198080793 |
| Mailing Fax Number | 7652740621 |
| Enumeration Date | 2018-07-02 |
| Last Update Date | 2018-07-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
39003046A | IN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 300014409 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 222 Indianapolis Blvd Ste 207, Schererville, IN 463751275 | 2198080793 | 7652740621 |
| Street Address |
4905 MELTON RD |
| City | GARY |
| State | IN |
| Zip Code | 46403-2873 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003172008 | Healthy Smiles Nwi | Dentist | 4629 Melton Rd., Gary, IN 46403 | 2012-04-04 |
| 1932494424 | Restore Therapy Services LLC | Physical Therapist | 6100 Miller Avenue, Gary, IN 46403 | 2011-06-13 |
| 1851682587 | Ladwana Retic | Social Worker | 4416 East 6th Avenue, Gary, IN 46403 | 2011-04-28 |
| 1962500298 | Lynn E Gassoway | Dentist | 8412 Maple Ave, Gary, IN 46403 | 2006-09-20 |
| 1376826867 | Jill Obrien | Pharmacist | 801 S Lake St, Gary, IN 46403 | 2011-09-21 |
| 1932314275 | Charter School of The Dunes | Local Education Agency (LEA) | 860 N Lake St, Gary, IN 46403-1070 | 2007-05-11 |
| 1598980542 | Arc Bridges, Inc | Custodial Care Facility | 7110 Forest Ave, Gary, IN 46403-1201 | 2007-04-16 |
| 1104039510 | Lynn E Gassoway,dds,inc | Clinic/Center | 8412 Maple Ave, Gary, IN 46403-1419 | 2007-05-08 |
| 1053582445 | Jacqueline Bernice Fowler | Psychologist | 8620 Maple Ave, Gary, IN 46403-1423 | 2008-03-13 |
| 1659484053 | Life Service Professional Corp | Specialist | 1015 N Shelby St, Gary, IN 46403-1446 | 2006-08-17 |
| Find all providers in zip 46403 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164035507 | Christopher Parker | Counselor | 855 Taft St, Gary, IN 46404-1255 | 2020-08-25 |
| 1790274504 | Hidejah Rasheeda Walter | Counselor | 2710 W 7th Pl, Gary, IN 46404-1217 | 2018-05-07 |
| 1912418880 | Voyage LLC | Counselor | 2471 Noble St, Gary, IN 46404-3269 | 2017-10-18 |
| 1851814339 | Kemuel Sean Hawkins | Counselor | 7318 Hemlock Ave, Gary, IN 46403-2153 | 2017-07-17 |
| 1295273035 | Lisa Johnson | Counselor | 498 W 22nd Pl, Gary, IN 46407-3010 | 2017-01-31 |
| 1265833990 | Dwight Williams | Counselor | 1122 W 47th Ave, Gary, IN 46408-4408 | 2014-09-12 |
| 1508297417 | Linda Tolbert | Counselor | 101 N Montgomery St, Gary, IN 46403-3921 | 2013-12-02 |
| 1548530439 | Sibis Counseling Center LLC | Counselor | 3195 Broadway Lowr Level, Gary, IN 46409-1006 | 2012-01-09 |
| 1366606592 | Tamara Rose Williams | Counselor | 1649 Broadway, Gary, IN 46407-2231 | 2008-07-16 |
| 1710197629 | Armando Hiladio Escobedo Sr. | Counselor | 2411 Gerry St, Gary, IN 46406-2644 | 2007-05-22 |
| Find all providers in GARY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.