Individual provider Active NPI

Krystal Mia Mallory, LMFT

  • Marriage & Family Therapist
  • Long Beach, CA
National Provider Identifier
1538483839
Registry record updated Sep 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
89834 Issued in CA
Practice address
324 E Bixby Rd
Long Beach, CA 90807
Phone
(562) 595-8111
Fax
(562) 595-8148
NPI assigned
Mar 16, 2010
Last updated
Sep 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 89834 CA Primary

Addresses

Primary practice location

324 E Bixby Rd
Long Beach, CA 90807

Mailing address

324 E Bixby Rd
Long Beach, CA 90807-3432
Phone (562) 595-8111

Other practice location 1

12215 Telegraph Rd Ste 107
Santa Fe Springs, CA 90670-3344
Phone (925) 282-1778

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
89834CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1268697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789344000000",
    "number": "1538483839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 E BIXBY RD",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908073432",
            "telephone_number": "562-595-8111",
            "fax_number": "562-595-8148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 E BIXBY RD",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "90807",
            "telephone_number": "562-595-8111",
            "fax_number": "562-595-8148"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12215 Telegraph Rd Ste 107",
            "address_purpose": "LOCATION",
            "city": "Santa Fe Springs",
            "state": "CA",
            "postal_code": "906703344",
            "country_code": "US",
            "telephone_number": "925-282-1778",
            "fax_number": "415-296-5299",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MALLORY",
        "first_name": "KRYSTAL",
        "middle_name": "MIA",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-16",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "89834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.