MALLORY AMANDA LEWIS AMFT
NPI 1417583279
Marriage & Family Therapist in Fresno, CA

Q: What is Mallory Lewis's NPI number?

The NPI number for Mallory Lewis is 1417583279. It was assigned to this individual provider in the NPPES registry on March 12, 2020.

Q: What is Mallory Lewis's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mallory Lewis was last updated on January 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since March 12, 2020PECOS Enrolled

2560 W SHAW LN STE 104, FRESNO, CA 93711(559) 443-4800(559) 443-4800 Get Directions Write a Review

NPPES record last updated: January 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 7, 2025, Dec 3, 2024, Mar 12, 2020 (3 updates tracked since 2020).

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About Mallory Amanda Lewis Amft NPPES

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

MALLORY AMANDA LEWIS AMFT (NPI 1417583279) is an individual marriage & family therapist in Fresno, California, licensed in California (139645) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1417583279

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameMALLORY AMANDA LEWISCredential: AMFT

Location Address2560 W SHAW LN STE 104Fresno, CA 93711-2777

Mailing Address2560 W Shaw Ln Ste 104Fresno, CA 93711-2777 · (559) 443-4800 · Fax (559) 443-4800

Phone(559) 443-4800

Fax(559) 443-4800

Sole ProprietorNo

Enumeration DateMarch 12, 2020

Last NPPES UpdateJanuary 15, 20253 updates tracked since enumeration

NPPES CertifiedJanuary 15, 2025

✔ NPI 1417583279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · 139645

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.

2560 W SHAW LN STE 104, Fresno, CA 93711

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Secondary Practice Locations 2

Location 12020 High St Ste ESelma, CA 93662-3518 · Phone (559) 443-4800

Location 24939 E Yale AveFresno, CA 93727-1523 · Phone (559) 443-4800

Other Identifiers 1

Other118150CA · Bbs Registration

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mallory Amanda Lewis Amft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

NICOLE YVETTE SINERCHIO

Marriage & Family Therapist