Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Steven Michael Mallory, LPCLADC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1639244080

Mr. Steven Michael Mallory, LPCLADC is a Mental Health Counselor in Ponca City, Oklahoma. Qualified in 1982, 44 years ago. Practices with Fairfax Medical Facilities Inc, a 16-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
44
Licensed in
OK
In the registry since
2006
Specialties on file
2
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Practice location Address checks out

1500 N 6th St
Ponca City, OK 74601
Phone: (580) 762-7561
Fax: (580) 762-5876
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence LPC1418 (OK)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 476 (OK)

Record details

NPI number1639244080
Entity typeIndividual (Type 1)
GenderMale
Credentials LPCLADC
Sole proprietorNo
NPI enumeratedNovember 21, 2006
Last updated in NPPESJune 27, 2023
Certification dateJune 27, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 1982 (44 years in practice)
Group practice Fairfax Medical Facilities Inc — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Ponca City