Active NPI
Evolving Reflections-Mallinger, PLLC
- Marriage & Family Therapist
- Las Vegas, NV
National Provider Identifier
1205201365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lisa Annette Mallinger, LMFT
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093082430 | Medicaid | NV |
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.
-
- Marriage & Family Therapist
- Las Vegas, NV
- NPI 1093082430
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.