Anthony Severous Muller II, MA, LLPC CAC-II

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6401007822 Issued in MI

Practice address

2080 Union Ave SE Ste a
Grand Rapids, MI 49507-3247

Phone

(616) 516-9985

NPI assigned

Apr 11, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639353600000",
    "number": "1013130723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2139 BELMONT FARMS CIR NE",
            "city": "BELMONT",
            "state": "MI",
            "postal_code": "493068902",
            "telephone_number": "616-516-9985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 UNION AVE SE STE A",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495073247",
            "telephone_number": "616-516-9985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLER",
        "first_name": "ANTHONY",
        "middle_name": "SEVEROUS",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "MA, LLPC CAC-II",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-11",
        "last_updated": "2021-12-13",
        "certification_date": "2021-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "6401007822",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401007822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly Elizabeth Mullen, NP
• Patricia Mullen, LMSW
• Timothy M Mullen, OTR
• Stephanie C Mullennix, RN, CEN, AGCNS-BC
• Amy Rebecca Muller, RN BSN
• Bruce Thompson Muller, MD
• Carrie Muller
• Christof Charles Muller, PA-C
• Hannah Muller
• Henry Andrew Muller, MA LLPC

• Mental Health Counselor in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Mental Health Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.