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Active NPI 1487126595 Individual Practitioner Female Practitioner

Mallory Beardsley

Counselor - Professional • Brighton, MI

Professional Overview & Biography Verified Profile Summary

Mallory Beardsley is a registered healthcare professional specializing in Counselor - Professional in Brighton, MI. Practice services are available at 132 E GRAND RIVER AVE STE 205 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

132 E Grand River Ave Ste 205

Brighton, MI 481161510

Telephone 9892390870
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Brighton, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.6 Yrs
State Avg: 15.6 Yrs
Regional Practice Density
43 Specialists

Practicing in Brighton, MI (5077 Statewide)

Telehealth Adoption Rate
4.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-02-16
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License MI 6401018036

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
6401018036 (MI)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Sarah Masalkoski

Social Worker

NPI 1033837190
Emma Ockerman

Counselor - Professional

NPI 1427833193
NPI 1699334730

Licensed Master Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
📍
Updated Practice Location October 05, 2023

Registered at 132 E GRAND RIVER AVE STE 205, BRIGHTON, MI 481161510 (Tel: 9892390870)

📍
Updated Business Mailing Address October 05, 2023

Registered at 701 MICHIGAN ST, PETOSKEY, MI 497702645 (Tel: 9892390870)

👤
Provider Name / Credentials Updated October 05, 2023

Recorded as MALLORY BEARDSLEY

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 23, 2020

Counselor (License #6401018036 in MI)

📍
Updated Practice Location March 25, 2019

Registered at 14509 BOICHOT RD, LANSING, MI 48906 (Tel: 9892390870)

📍
Updated Business Mailing Address March 25, 2019

Registered at 14509 BOICHOT RD, LANSING, MI 489061095

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 25, 2019

Counselor (License #6401016404 in MI)

NPI Profile Active December 31, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location December 31, 2018

Registered at 3361 36TH ST SE, GRAND RAPIDS, MI 495122809 (Tel: 9892390870)

📍
Updated Business Mailing Address December 31, 2018

Registered at 3361 36TH ST SE, GRAND RAPIDS, MI 495122809

👤
Provider Name / Credentials Updated December 31, 2018

Recorded as MALLORY GODIN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 31, 2018

Behavior Technician

🟢
Initial NPI Registration & Enumeration December 31, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1487126595
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 31, 2018
Last Update: October 05, 2023
Sole Proprietor: No

Mailing Address

701 Michigan St

Petoskey, MI 497702645

Phone: 9892390870

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.