Active NPI
Matthew S. Mullins, LADC
- Addiction (Substance Use Disorder) Counselor
- Somerville, MA
National Provider Identifier
1023302676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 2353
- Practice address
- 20 Barton St
Somerville, MA 02144-1508 - Phone
- (508) 667-3622
- NPI assigned
- May 31, 2011
- Last updated
- May 31, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 2353 | MA | Primary |
Addresses
Primary practice location
20 Barton St
Somerville, MA 02144-1508
Mailing address
20 Barton St
Somerville, MA 02144-1508
Phone (508) 667-3622
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 |
|---|---|---|---|
| 2353 | MA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306800000000",
"number": "1023302676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 BARTON ST",
"city": "SOMERVILLE",
"state": "MA",
"postal_code": "021441508",
"telephone_number": "508-667-3622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 BARTON ST",
"city": "SOMERVILLE",
"state": "MA",
"postal_code": "021441508",
"telephone_number": "508-667-3622"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULLINS",
"first_name": "MATTHEW",
"middle_name": "S.",
"name_prefix": "Mr.",
"credential": "LADC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-05-31",
"last_updated": "2011-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MA",
"license": "2353",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Somerville, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.