Organization Active NPI

Evolving Reflections-Mallinger, PLLC

  • Marriage & Family Therapist
  • Las Vegas, NV
National Provider Identifier
1205201365
Registry record updated Sep 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
EVOLVING REFLECTIONS-MALLINGER, PLLC
Practice address
3652 N Rancho Dr
Las Vegas, NV 89130-3178
Phone
(702) 850-2833
Fax
(702) 538-9148
NPI assigned
Dec 1, 2015
Reactivated
Sep 24, 2026
Last updated
Sep 24, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2026

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

Authorized official

Name
Lisa Annette Mallinger, LMFTNPI 1093082430
Title
LMFT
Phone
(702) 497-8390

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

3652 N Rancho Dr
Las Vegas, NV 89130-3178

Mailing address

11248 Newbury Hills Ave
Las Vegas, NV 89138-1521
Phone (702) 497-8390

Other identifiers 1

IdentifierTypeStateIssuer
1093082430MedicaidNV

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1448928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790208000000",
    "number": "1205201365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11248 NEWBURY HILLS AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891381521",
            "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": "3652 N RANCHO DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891303178",
            "telephone_number": "702-850-2833",
            "fax_number": "702-538-9148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVOLVING REFLECTIONS-MALLINGER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-01",
        "last_updated": "2026-09-24",
        "certification_date": "2023-05-04",
        "deactivation_date": "2023-05-04",
        "reactivation_date": "2026-09-24",
        "status": "A",
        "authorized_official_last_name": "MALLINGER",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "ANNETTE",
        "authorized_official_title_or_position": "LMFT",
        "authorized_official_telephone_number": "702-497-8390",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1093082430",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.