IndividualActive
Kenneth Mallon
NPI 1205505302 · Mental Health Counselor · San Jose, CA
Kenneth Mallon is a Mental Health Counselor provider in San Jose, CA (NPI 1205505302).
Provider details
- NPI number
- 1205505302
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 116516 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
950 S Bascom Ave Ste 2005
San Jose, CA 95128-3538
Phone: (650) 487-0604
Street-level locationGet directions
Mailing address
1210 S Bascom Ave Ste 114
San Jose, CA 95128-3535
Registry dates
- Enumerated
- 2021-09-10
- Last updated
- 2023-03-05
- Certified
- 2023-03-05
Frequently asked questions
- What is Kenneth Mallon's NPI number?
- Kenneth Mallon's National Provider Identifier (NPI) is 1205505302, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kenneth Mallon's specialty?
- Kenneth Mallon is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Kenneth Mallon located?
- Kenneth Mallon's practice location on file with NPPES is 950 S Bascom Ave Ste 2005, San Jose, CA 95128-3538.
- What is Kenneth Mallon's phone number?
- The practice phone number listed in the NPPES registry for Kenneth Mallon is (650) 487-0604.
- Is Kenneth Mallon's NPI active?
- Yes — Kenneth Mallon's NPI (1205505302) is active in the NPPES registry as of the last update on 2023-03-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.