Individual provider Active NPI

Shelley Claire Mulock, AMFT, APCC

  • Mental Health Counselor
  • Los Alamitos, CA
National Provider Identifier
1013870294
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
129950 Issued in CA
Practice address
5212 Katella Ave Ste 103B
Los Alamitos, CA 90720-6828
Phone
(562) 250-5157
NPI assigned
Dec 4, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 10810 CA
Mental Health Counselor 101YM0800X 129950 CA Primary

Addresses

Primary practice location

5212 Katella Ave Ste 103B
Los Alamitos, CA 90720-6828

Mailing address

255 S Glendora Ave Unit 1364
Glendora, CA 91740-7170
Phone (562) 250-5157

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

LicenseStateTypeSpecialty
10810CAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1764806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1013870294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 S GLENDORA AVE UNIT 1364",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917407170",
            "telephone_number": "562-250-5157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5212 KATELLA AVE STE 103B",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907206828",
            "telephone_number": "562-250-5157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULOCK",
        "first_name": "SHELLEY",
        "middle_name": "CLAIRE",
        "credential": "AMFT, APCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-04",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "10810",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "129950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Alamitos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2025; 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.