Individual provider Active NPI

Kathryn Ann Mullett

  • Professional Counselor
  • Morristown, NJ
National Provider Identifier
1174158984
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC00967200 Issued in NJ
Practice address
25 Lindsley Dr Ste 300
Morristown, NJ 07960-4456
Phone
(973) 998-7900
Fax
(973) 998-7910
NPI assigned
Mar 12, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 37PC00967200 NJ Primary

Addresses

Primary practice location

25 Lindsley Dr Ste 300
Morristown, NJ 07960-4456

Mailing address

25 Lindsley Dr Ste 300
Morristown, NJ 07960-4456
Phone (973) 998-7900

Other identifiers 1

IdentifierTypeStateIssuer
1881936847OtherNJNPI

Other names 1

  • Kathryn Mullett Fitzsimmons Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240502000818 NJ Practitioner - Mental Health Counselor 9739529116 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Therapy Resources of Morris County, LLCGroup PAC ID 9133567548, 15 clinicians

Practice addresses (Care Compare)

25 Lindsley Dr
Suite 300
Morristown, NJ 07960-4456

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Resources of Morris County LLC Professional CurrentSince Mar 6, 2024 Accepting new patients

Locations

25 Lindsley Dr
Ste 300
Morristown, NJ 07960
Phone (973) 997-7900

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1583971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1174158984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 LINDSLEY DR STE 300",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079604456",
            "telephone_number": "973-998-7900",
            "fax_number": "973-998-7910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 LINDSLEY DR STE 300",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079604456",
            "telephone_number": "973-998-7900",
            "fax_number": "973-998-7910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLETT",
        "first_name": "KATHRYN",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-12",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00967200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1881936847",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "FITZSIMMONS",
            "middle_name": "MULLETT",
            "credential": "LAC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Morristown, NJ

Sources for this page

Verify at the official NPI Registry.