Mallory Garza, PH.D.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

1763 Issued in LA

Practice address

302 Wynnwood Ave
Ruston, LA 71270-2653

Phone

(620) 231-9873

NPI assigned

Nov 18, 2019

Last updated

Jun 25, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KS, LA2 enrollments

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 2

Specialty

Clinical Psychologist

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Manhattan Mental Health Services, LLC

  • Clinical Psychologist
  • Manhattan, KS
  • NPI 1043645781
  Medicare reassignment NPD
• Thinktrek LLC

  dba Center for Counseling and Psychological Resources

  • Professional Counselor
  • Ruston, LA
  • NPI 1215415229
  Medicare reassignment
• Dr. Scoggins, Inc.

  dba Fresno Health and Wellness

  • Psychologist
  • Clovis, CA
  • NPI 1811543747
  NPD (past)

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

{
    "created_epoch": "1574035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782345600000",
    "number": "1285270926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 WYNNWOOD AVE",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712702653",
            "telephone_number": "318-729-8090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 WYNNWOOD AVE",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712702653",
            "telephone_number": "620-231-9873"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "622 Burgessville Rd",
            "address_purpose": "LOCATION",
            "city": "Ruston",
            "state": "LA",
            "postal_code": "712705154",
            "country_code": "US",
            "telephone_number": "318-224-7223",
            "fax_number": "318-415-1004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARZA",
        "first_name": "MALLORY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-18",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "LA",
            "license": "1763",
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "CA",
            "license": "PSB94025204",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "KS",
            "license": "03223",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3088670",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Felicia Gant
• Aurelio Garcia Jr.
• Terry B Gardner, M.D.
• Anna Pate Garmon, SLP
• Robert Railey Garrett, FNP
• Genesis Recovery Center, LLC
• Sharon Gibbs, M.A.
• Edward G Gilcrease
• Joe William Gilmore, DDS
• John Gingles

• Counseling Psychologist in Ruston, LA
• Providers in Ruston, LA by specialty
• Counseling Psychologist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.