Active NPI
Amy Maria Mullins, MA
- Professional Counselor
- Greeneville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2830
- Practice address
- 401 Holston Dr
Greeneville, TN 37743-3127 - Phone
- (423) 639-1104
- Fax
- (423) 467-3644
- NPI assigned
- Sep 3, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Professional Counselor | 101YP2500X | 2830 | TN | Primary |
Addresses
Primary practice location
401 Holston Dr
Greeneville, TN 37743-3127
Mailing address
1167 Spratlin Park Dr
Johnson City, TN 37615-6205
Phone (423) 467-3600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231228000318 | TN | Practitioner - Mental Health Counselor | 9830549252 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Counselor | Current | Accepting new patients |
| Frontier Health | Current | Accepting new patients | |
| Frontier Health | Current | Accepting new patients |
Locations
401 Holston Dr
Greeneville, TN 37743
Phone (423) 639-1104
1167 Spratlin Park Dr
Johnson City, TN 37615
Phone (423) 232-2670
101 Lena Dr
Rogersville, TN 37857
Phone (423) 272-9239
Interoperability endpoints
- amymullins@tdh.allscriptsdirect.net
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Gray, TN
- NPI 1720147408
TN
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Sneedville, TN
- NPI 1053475558
-
- Family Medicine Physician
- Lewisville, TX
- NPI 1245403567
Counselor
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Frontier Health
Practice addresses (Care Compare)
401 Holston Dr
Greeneville, TN 37743-3127
Phone (423) 467-3600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523923200000",
"number": "1114150430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1167 SPRATLIN PARK DR",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376156205",
"telephone_number": "423-467-3600",
"fax_number": "423-467-3644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 HOLSTON DR",
"city": "GREENEVILLE",
"state": "TN",
"postal_code": "377433127",
"telephone_number": "423-639-1104",
"fax_number": "423-467-3644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULLINS",
"first_name": "AMY",
"middle_name": "MARIA",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-03",
"last_updated": "2018-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TN",
"license": "2830",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greeneville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.