Karissa Mueller

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

264708 Issued in KY

Practice address

1717 Madison Ave
Covington, KY 41011-3330

Phone

(859) 360-0254

Fax

(859) 261-0801

NPI assigned

Sep 23, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1600819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600819200000",
    "number": "1164038295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 MADISON AVE",
            "city": "COVINGTON",
            "state": "KY",
            "postal_code": "410113330",
            "telephone_number": "859-360-0254",
            "fax_number": "859-261-0801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 MADISON AVE",
            "city": "COVINGTON",
            "state": "KY",
            "postal_code": "410113330",
            "telephone_number": "859-360-0254",
            "fax_number": "859-261-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUELLER",
        "first_name": "KARISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-23",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KY",
            "license": "264708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Ruth Moreland, LCSW
• Todd C Morris
• Ronald Morrison, M.DIV
• Helena Moss, LPN
• John Mueller, L.C.S.W.
• Bonnie Jean Nicole Mullett, TCADC
• Cheryl Ann Mullins, CSW
• Kathleen Ann Mullins, CSR
• Diane Cousino Mushaben, LPCC
• Beth Ann Myers, MD

• Addiction (Substance Use Disorder) Counselor in Covington, KY
• Providers in Covington, KY by specialty
• Addiction (Substance Use Disorder) Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2020; 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.