Organization Active NPI

Mullinax Counseling PLLC

  • Clinical Social Worker
  • Houston, TX
National Provider Identifier
1013613439
Registry record updated Apr 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MULLINAX COUNSELING PLLC
Practice address
16225 Park Ten PL Ste 500
Houston, TX 77084-5152
Phone
(281) 639-9180
NPI assigned
Feb 7, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2023

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

Authorized official

Name
Staci Lenae Mullinax, LCSWNPI 1336313212
Title
Sole Member
Phone
(281) 915-9633

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

16225 Park Ten PL Ste 500
Houston, TX 77084-5152

Mailing address

2222 Enchanted Park LN
Katy, TX 77450-7128
Phone (281) 639-9180

Other identifiers 1

IdentifierTypeStateIssuer
33673OtherTXLCSW

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241230001972 TX Part B Supplier - Clinic/Group Practice 7416484688 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

16300 Katy Fwy
Ste 300
Houston, TX 77094
Phone (281) 915-9633

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1675728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681776000000",
    "number": "1013613439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 ENCHANTED PARK LN",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774507128",
            "telephone_number": "281-639-9180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16225 PARK TEN PL STE 500",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770845152",
            "telephone_number": "281-639-9180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULLINAX COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-07",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A",
        "authorized_official_last_name": "MULLINAX",
        "authorized_official_first_name": "STACI",
        "authorized_official_middle_name": "LENAE",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "281-915-9633",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "33673",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.