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LAURA MALLORY
NPI 1215103593
Marriage & Family Therapist in Turlock, CA

Active since May 06, 2008PECOS EnrolledAccepts Medicare Assignment
420 E CANAL DR, TURLOCK, CA 95380(209) 669-2583(209) 669-2588 Get Directions Write a Review

NPPES record last updated: January 9, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Laura Mallory NPPES

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

LAURA MALLORY (NPI 1215103593) is an individual marriage & family therapist in Turlock, California, licensed in California (103976) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1215103593
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameLAURA MALLORY
Location Address420 E CANAL DRTurlock, CA 95380-3936
Mailing Address420 E Canal DrTurlock, CA 95380-3936 · (209) 669-2583 · Fax (209) 669-2588
Phone(209) 669-2583
Fax(209) 669-2588
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateMay 6, 2008
Last NPPES UpdateJanuary 9, 2023
NPPES CertifiedJanuary 9, 2023
✔ NPI 1215103593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 103976
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 67740 (CA)
420 E CANAL DR, Turlock, CA 95380
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Laura Mallory is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3476072703
PECOS Enrollment IDI20250529001834
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Laura Mallory reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sud Specialty Group - Ca
63 mi
Addiction Medicine
4633 OLD IRONSIDES DR STE 304
Santa Clara, CA 95054
  • Reassigned Medicare billing, California enrollment
  • 1,607 clinicians in this Medicare group
NPI 1972138238 (323) 205-7088

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

SAMUEL RANGEL
Counselor (Mental Health)
420 E CANAL DR
TURLOCK, CA 95380
Stanislaus County (209) 277-9653
ANDREA GISELLE CARRANZA OLIVARES
Adult Companion
420 E CANAL DR
TURLOCK, CA 95380
Stanislaus County (650) 474-9054
MR. ANDREW HERRICK MCCLURE MFT
Marriage & Family Therapist
420 E CANAL DR
TURLOCK, CA 95380
Stanislaus County (209) 669-2583
JESSICA KAYLENE LUNT
Counselor (Professional)
420 E CANAL DR
TURLOCK, CA 95380
Stanislaus County (209) 669-2583
DYNESHA RENE MONTOYA
Case Manager/Care Coordinator
420 E CANAL DR
TURLOCK, CA 95380
Stanislaus County (209) 669-2583
DANIELLE PARGA
Student in an Organized Health Care Education/Training Program
420 E CANAL DR
TURLOCK, CA 95380
Stanislaus County (209) 669-2583
MISS TIFFANY MICHELLE FENTERS NA
Counselor (Professional)
420 E CANAL DR
TURLOCK, CA 95380
Stanislaus County (209) 669-2583
JORDAN CHRISTINE BLEVINS
Case Manager/Care Coordinator
420 E CANAL DR
TURLOCK, CA 95380
Stanislaus County (209) 669-2583

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 Laura Mallory's NPI number?

The NPI number for Laura Mallory is 1215103593. It was assigned to this individual provider in the NPPES registry on May 6, 2008.

Where is Laura Mallory located?

Laura Mallory practices at 420 E Canal Dr, Turlock, CA 95380. The listed phone number is (209) 669-2583.

What is Laura Mallory's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Laura Mallory enrolled in Medicare?

Yes. Laura Mallory is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Laura Mallory's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Laura Mallory reassigns Medicare benefits to Sud Specialty Group - Ca (Santa Clara, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Laura Mallory's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Laura Mallory was last updated on January 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.