Blake Malloy, in Maple Grove, MN - Medicare Mental Health Counselor Provider

Blake Malloy, is a medicare enrolled "Counselor - Mental Health" provider in Maple Grove, Minnesota. He graduated from healthcare school in 2009 and has 17 years of diverse experience with area of expertise as Mental Health Counselor. He is a member of the group practice Stone Arch Psychology And Health Services and his current practice location is 13603 80th Cir N, Maple Grove, Minnesota. You can reach out to his office (for appointments etc.) via phone at (763) 274-3120.

Blake Malloy is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1033636519.

Contact Information

	Blake Malloy,
	13603 80th Cir N, Maple Grove, MN 55369-8961
	(763) 274-3120
	(763) 274-3121

Map and Direction

Healthcare Provider's Profile

Full Name	Blake Malloy
Gender	Male
Speciality	Mental Health Counselor
Experience	17 Years
Location	13603 80th Cir N, Maple Grove, Minnesota
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Blake Malloy graduated from medical school in 2009

NPI Data:

NPI Number: 1033636519
Provider Enumeration Date: 08/25/2017
Last Update Date: 08/25/2017

Medicare PECOS Information:

PECOS PAC ID: 1355830647
Enrollment ID: I20251028001148

Medical Identifiers

Medical identifiers for Blake Malloy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033636519	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Stone Arch Psychology And Health Services	6709045784	7

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Blake Malloy is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Blake Malloy, 1900 Silver Lake Rd Nw Ste 110, New Brighton, MN 55112-1789 Ph: (651) 628-9566	Blake Malloy, 13603 80th Cir N, Maple Grove, MN 55369-8961 Ph: (763) 274-3120

Reviews and Comments

Counselor in Maple Grove, MN

Sarah Nicole Olson Venning, LICSW Counselor Medicare: Medicare Enrolled Practice Location: 14500 99th Ave N, Maple Grove, MN 55369 Phone: 651-600-0342
Daniel Knudson, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 13603 80th Cir N, Maple Grove, MN 55369 Phone: 763-274-3120 Fax: 763-274-3121
Alysha Kvam, Counselor Medicare: Medicare Enrolled Practice Location: 12918 63rd Ave N, Maple Grove, MN 55369 Phone: 763-210-9966
Barbara Wormington, Counselor Medicare: Not Enrolled in Medicare Practice Location: 10650 County Road 81 Ste N, Maple Grove, MN 55369 Phone: 417-529-3250
Julie Bosacker, Counselor Medicare: Accepting Medicare Assignments Practice Location: 11670 Fountains Dr Ste 200, Maple Grove, MN 55369 Phone: 763-229-7633
Valerie Dean, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7835 Main St N Ste 220, Maple Grove, MN 55369 Phone: 763-400-7475 Fax: 763-400-7473

Blake Malloy, - Medicare Counselor in Maple Grove, MN