IndividualActive
Jennifer Mallory, CDCA
NPI 1972018182 · Addiction (Substance Use Disorder) Counselor · Fairfield, OH
Provider details
- NPI number
- 1972018182
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- CDCA
- Sex
- Female
- Sole proprietor
- No
- License
- CDCA.165090 (OH)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
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
5108 Sandy Ln
Fairfield, OH 45014
Phone: (513) 834-7063
Fax: (513) 816-7789
Street-level locationGet directions
Mailing address
446 Morgan St
Cincinnati, OH 45206-2348
Additional practice locations (2)
- 446 Morgan StCincinnati, OH 45206-2348Phone: (513) 834-7063Fax: (513) 954-4242
- 6527 Colerain AveCincinnati, OH 45239-5537Phone: (513) 834-7063Fax: (513) 245-0531
Registry dates
- Enumerated
- 2017-12-11
- Last updated
- 2018-07-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.