Active NPI
Lynn Isenhower Mullinax, LPC
- Professional Counselor
- Newton, NC
National Provider Identifier
1003957531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 4274
- Practice address
- 22 South Main Avenue
Newton, NC 28658 - Phone
- (828) 465-6852
- Fax
- (828) 464-6856
- NPI assigned
- Feb 9, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 4274 | NC | Primary |
Addresses
Primary practice location
22 South Main Avenue
Newton, NC 28658
Mailing address
PO Box 1291
Newton, NC 28658
Phone (828) 465-6852
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 134TG | Other | NC | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4274 | NC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003957531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1291",
"city": "NEWTON",
"state": "NC",
"postal_code": "28658",
"telephone_number": "828-465-6852",
"fax_number": "828-464-6856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 SOUTH MAIN AVENUE",
"city": "NEWTON",
"state": "NC",
"postal_code": "28658",
"telephone_number": "828-465-6852",
"fax_number": "828-464-6856"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULLINAX",
"first_name": "LYNN",
"middle_name": "ISENHOWER",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "4274",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "134TG",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Newton, NC
- Mission Medical Primary Care of Catawba County, PLLC
- Kathryn Lynn Moore, PT
- Dana Marie F Moretz, FNP
- Gerri Fisher Morrison, NP-C
- Crystal Dawn Mosteller Hopson, PA-C
- My Chiro Care, PLLC
- New Choice Physical Therapy & Wellness, LLC
- Brandi Fitzgerald Newell, FNP
- Newton Drug Co LTC
- Newton Drug Company LLC (Healthsmart Pharmacy-Newton)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.