Active NPI
Lin K McNulty, JD, LCSW
- Mental Health Counselor
- Grass Valley, CA
National Provider Identifier
1184747099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 19591
- Practice address
- 655 S Auburn St
Grass Valley, CA 95945-7535 - Phone
- (530) 274-7560
- NPI assigned
- Apr 6, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 19591 | CA | Primary |
Addresses
Primary practice location
655 S Auburn St
Grass Valley, CA 95945-7535
Mailing address
P.O. Box 2149
Nevada City, CA 95959
Phone (530) 274-7560
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- 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 |
|---|---|---|---|---|
| I20150601001713 | CA | Practitioner - Clinical Social Worker | 2163686973 | Practice locations: Grass Valley, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- University of Southern California Keck School of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
655 S Auburn St
Grass Valley, CA 95945-7535
Phone (530) 274-7560
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Juris Doctor
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19591 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1184747099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 2149",
"city": "NEVADA CITY",
"state": "CA",
"postal_code": "95959",
"telephone_number": "530-274-7560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "655 S AUBURN ST",
"city": "GRASS VALLEY",
"state": "CA",
"postal_code": "959457535",
"telephone_number": "530-274-7560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCNULTY",
"first_name": "LIN",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "JD, LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "19591",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grass Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.