Danny Leon Mallory Jr., LMFT 132578

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

132578 Issued in CA

Practice address

511 N Brookhurst St Ste 200
Anaheim, CA 92801-5229

Phone

(657) 276-4309

NPI assigned

Oct 31, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

State licenses

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

• College Community Services

  • Community/Behavioral Health Agency
  • Anaheim, CA
  • NPI 1043354624
  Medicare reassignment

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

{
    "created_epoch": "1320019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1982980272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 N BROOKHURST ST STE 200",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928015229",
            "telephone_number": "657-276-4309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 N BROOKHURST ST STE 200",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928015229",
            "telephone_number": "657-276-4309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLORY",
        "first_name": "DANNY",
        "middle_name": "LEON",
        "name_suffix": "Jr.",
        "credential": "LMFT 132578",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-31",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "132578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wafa Nasir Malik
• Lourdes Billones Malilay, RPH
• Razan Malkawi, SLPA
• Jessica Mallari
• Camille Espiritu Santo Mallillin
• Dianne Marie Mallory, CTRS
• Ava Grace Malloy
• Sarah Malone
• Deborah Maly-Ross, CNM
• Nilima H Mamtora, MD

• Marriage & Family Therapist in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.