IndividualActive
Mallory Mahaffey, LADC
NPI 1295548162 · Addiction (Substance Use Disorder) Counselor · Maple Grove, MN
Provider details
- NPI number
- 1295548162
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- LADC
- Sex
- Female
- Sole proprietor
- Yes
- License
- 303834 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
13603 80th Cir N
Maple Grove, MN 55369-8961
Phone: (651) 379-1718
Approximate (ZIP-level) locationGet directions
Mailing address
6880 Lost Lake Rd
Egg Harbor, WI 54209-9229
Registry dates
- Enumerated
- 2025-01-27
- Last updated
- 2025-01-27
- Certified
- 2025-01-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.