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JAMIE RAE MALLORY
NPI 1013317197
Counselor - Addiction (Substance Use Disorder) in Santa Rosa, CA

Active since August 26, 2014
2255 CHALLENGER WAY, SANTA ROSA, CA 95407(707) 326-0137 Get Directions Write a Review

NPPES record last updated: July 13, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 13, 2025, Jun 4, 2024 (2 updates tracked since 2024).

About Jamie Rae Mallory NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAMIE RAE MALLORY (NPI 1013317197) is an individual addiction (substance use disorder) provider in Santa Rosa, California, licensed in California (168350) and active in the NPI registry since August 2014.

NPPES Registry Identity

NPI1013317197
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameJAMIE RAE MALLORY
Location Address2255 CHALLENGER WAYSanta Rosa, CA 95407-2928
Mailing Address2255 Challenger WaySanta Rosa, CA 95407-5423 · (707) 326-0137
Phone(707) 326-0137
Sole ProprietorNo
Enumeration DateAugust 26, 2014
Last NPPES UpdateJuly 13, 20252 updates tracked since enumeration
NPPES CertifiedJuly 13, 2025
✔ NPI 1013317197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CA · 168350
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
2255 CHALLENGER WAY, Santa Rosa, CA 95407
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Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMANDA CHRISTINA CREAM
Counselor (Addiction (Substance Use Disorder))
2255 CHALLENGER WAY
SANTA ROSA, CA 95407
Sonoma County (707) 495-2491
DALLAS JAMES VOIGTLANDER
Day Training/Habilitation Specialist
2255 CHALLENGER WAY
SANTA ROSA, CA 95407
Sonoma County (707) 565-4772
JOSEPH DUANE PINKARD RADT
Counselor (Addiction (Substance Use Disorder))
2255 CHALLENGER WAY
SANTA ROSA, CA 95407
Sonoma County (707) 708-1086
HEATHER DICKISON AMFT
Marriage & Family Therapist
2255 CHALLENGER WAY
SANTA ROSA, CA 95407
Sonoma County (707) 565-6449
MRS. SAYULITA STORM WEISZ
Counselor
2255 CHALLENGER WAY, SUITE 106
SANTA ROSA, CA 95407
Sonoma County (707) 545-4551
LAUREN BROWN
Counselor (Mental Health)
2255 CHALLENGER WAY, SUITE 106
SANTA ROSA, CA 95407
Sonoma County (707) 545-4551
SEAN THOMAS BOSWORTH
Day Training/Habilitation Specialist
2255 CHALLENGER WAY
SANTA ROSA, CA 95407
Sonoma County (707) 565-4797
TANYA HASLEY
Specialist
2255 CHALLENGER WAY
SANTA ROSA, CA 95407
Sonoma County (707) 712-2969

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jamie Mallory's NPI number?

The NPI number for Jamie Mallory is 1013317197. It was assigned to this individual provider in the NPPES registry on August 26, 2014.

Where is Jamie Mallory located?

Jamie Mallory practices at 2255 Challenger Way, Santa Rosa, CA 95407. The listed phone number is (707) 326-0137.

What is Jamie Mallory's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Jamie Mallory was last updated on July 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.