Individual provider Active NPI

Megan L. Mullins, LCPC

  • Counselor
  • Elkton, MD
National Provider Identifier
1033552765
Registry record updated Nov 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LC4958 Issued in MD
Practice address
505 Blue Ball Rd BLDG 140B
Elkton, MD 21921
Phone
(410) 491-8201
NPI assigned
Apr 11, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LC4958 MD Primary

Addresses

Primary practice location

505 Blue Ball Rd BLDG 140B
Elkton, MD 21921

Mailing address

500 W Creek Village Dr Apt A2
Elkton, MD 21921-4185
Phone (410) 491-8201

Other practice location 1

621 Stemmers Run Rd
Essex, MD 21221-3386
Phone (410) 574-2500

Other practice location 2

621 Stemmers Run Rd
Essex, MD 21221-3386
Phone (410) 574-2500

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
LC4958MDMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1365638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541289600000",
    "number": "1033552765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W CREEK VILLAGE DR APT A2",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219214185",
            "telephone_number": "410-491-8201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 BLUE BALL RD BLDG 140B",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "21921",
            "telephone_number": "410-491-8201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "621 Stemmers Run Rd",
            "address_purpose": "LOCATION",
            "city": "Essex",
            "state": "MD",
            "postal_code": "212213386",
            "country_code": "US",
            "telephone_number": "410-574-2500",
            "fax_number": "410-574-4478",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "621 Stemmers Run Rd",
            "address_purpose": "LOCATION",
            "city": "Essex",
            "state": "MD",
            "postal_code": "212213386",
            "country_code": "US",
            "telephone_number": "410-574-2500",
            "fax_number": "410-574-4478",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MULLINS",
        "first_name": "MEGAN",
        "middle_name": "L.",
        "name_prefix": "Ms.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-11",
        "last_updated": "2018-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MD",
            "license": "LC4958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2018; 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.