MICHELLE MALOTT (MA) – Mental Health Counselor, NPI 1154819894

MICHELLE MALOTT (MA) is a healthcare provider. based in San diego, California. specializing in MARRIAGE AND FAMILY THERAPIST. They hold the professional credentials MA. They hold a License No. 120215 (CA). The NPI Number for MICHELLE MALOTT (MA) is 1154819894

Main info

Female
Sole Proprietor
15 Years Of Experience
Accepts Medicare Assignment
Name
MICHELLE MALOTT (MA)
NPI
1154819894
Phone
Not provided
Address
6949 HYDE PARK DR
Enumeration Date
27 April 2018
Last Update Date
14 July 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8664783978
Graduation Year
2011 (15 years ago)
PAC ID
0941641377
Group Practice PAC ID
4587012950
Professional Enrollment ID
I20240515003872
Address ID
CA925054408RI11801STXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:8State licenses:1Digital endpointsOther names

5,106 MARRIAGE AND FAMILY THERAPIST in CA

Provider Addresses for MICHELLE MALOTT (MA)

  • 6949 HYDE PARK DR

    SAN DIEGO, CA 921192208

    Phone:

    Type: Mailing

  • 12121, 100th Avenue Northeast, Juanita, Kirkland, King County, Washington, 98034, United States

    KIRKLAND, WA 980346743

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-05-15

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240515003872IMarriage And Family TherapistCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 92119)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4587012950View full group profile
NameSpecialtyState
Marriage And Family TherapistCA
Marriage And Family TherapistCA
Marriage And Family TherapistNM
Clinical Social WorkerGA
Marriage And Family TherapistCA
Clinical Social WorkerCA
Marriage And Family TherapistNV
Marriage And Family TherapistCA
Marriage And Family TherapistCA
Marriage And Family TherapistCA

Reviews

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Frequently asked questions

Is MICHELLE MALOTT (MA) listed with a National Provider Identifier?
Yes — MICHELLE MALOTT (MA) has NPI 1154819894 on file in the registry.
Is MICHELLE MALOTT (MA) still an active registrant?
MICHELLE MALOTT (MA) carries an active NPI according to the public dataset.
What kind of doctor is MICHELLE MALOTT (MA)?
MICHELLE MALOTT (MA) is associated with Mental Health Counselor in the directory — Clinical services aligned with this taxonomy classification.
Where in California is MICHELLE MALOTT (MA) registered?
Use San Diego, California as the headline location for MICHELLE MALOTT (MA) here.
When was this NPI issued?
Enumeration for MICHELLE MALOTT (MA) is noted as April 27, 2018 where the registry provides it.

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