Lisa Annette Mallinger, LICENSED MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

01341 Issued in NV

Practice address

7473 W Lake Mead Blvd Ste 100
Las Vegas, NV 89128-0265

Phone

(702) 850-2833

NPI assigned

Nov 30, 2011

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1322611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1093082430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7473 W LAKE MEAD BLVD # 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280265",
            "telephone_number": "702-497-8390",
            "fax_number": "702-538-9148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7473 W LAKE MEAD BLVD STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280265",
            "telephone_number": "702-850-2833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLINGER",
        "first_name": "LISA",
        "middle_name": "ANNETTE",
        "name_prefix": "Miss",
        "credential": "LICENSED MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-30",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "01341",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1093082430",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nirmala Mallela, RPH
• Alfreda I. Maller, M.D., PHD
• Breanna Mallett-Case
• Ronobir Ranjan Mallick, DO
• Jennifer C. Mallinger, O.D. CHARTERED
• Ann Marie Mallory, APRN, FNP, PMHNP
• Gwendolyn Mallory, QMHA
• Louis Joseph Mallory IV
• Michelle Mallory, RD
• Natalee Adell Mallory, LCSW

• Marriage & Family Therapist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Marriage & Family Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.