Organization Active NPI

Gretchen Mullin LLC

  • Point of Service
  • Trinity, FL
National Provider Identifier
1073993903
Registry record updated Jun 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
MH12114 Issued in FL
Legal business name
GRETCHEN MULLIN LLC
Practice address
7747 Mitchell Blvd
Suite B
Trinity, FL 34655-4725
Phone
(727) 916-7812
NPI assigned
Jun 5, 2015
Last updated
Jun 5, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2015

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

Authorized official

Name
Gretchen Marie Mullin, LMHC, CAP
Title
Owner, LMHC
Phone
(727) 916-7812

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X MH12114 FL Primary

Addresses

Primary practice location

7747 Mitchell Blvd
Suite B
Trinity, FL 34655-4725

Mailing address

3290 Tanglewood TRL
Palm Harbor, FL 34685-1835

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1433462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433462400000",
    "number": "1073993903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3290 TANGLEWOOD TRL",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346851835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7747 MITCHELL BLVD",
            "address_2": "SUITE B",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346554725",
            "telephone_number": "727-916-7812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRETCHEN MULLIN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-05",
        "last_updated": "2015-06-05",
        "status": "A",
        "authorized_official_last_name": "MULLIN",
        "authorized_official_first_name": "GRETCHEN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER, LMHC",
        "authorized_official_telephone_number": "727-916-7812",
        "authorized_official_credential": "LMHC, CAP"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "FL",
            "license": "MH12114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trinity, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2015; 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.