Active NPI
Elizabeth Mulewa Mutinda, LP
- Clinical Psychologist
- Wichita Falls, TX
National Provider Identifier
1184956732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 38069
- Practice address
- 6515 Kemp Blvd
Wichita Falls, TX 76308-5419 - Phone
- (469) 544-9023
- NPI assigned
- Feb 8, 2010
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 62472 | TX | |
| Clinical Psychologist | 103TC0700X | 38069 | TX | Primary |
Addresses
Primary practice location
6515 Kemp Blvd
Wichita Falls, TX 76308-5419
Mailing address
4319 Lake Park Dr
Wichita Falls, TX 76302-2503
Phone (469) 544-9023
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62472 | TX | MD | Professional Counselor |
| 38069 | TX | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family and Child Guidance Centers | Professional | Past | Accepting new patients |
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": "1265587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767830400000",
"number": "1184956732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4319 LAKE PARK DR",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "763022503",
"telephone_number": "469-544-9023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6515 KEMP BLVD",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "763085419",
"telephone_number": "469-544-9023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUTINDA",
"first_name": "ELIZABETH",
"middle_name": "MULEWA",
"credential": "LP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-08",
"last_updated": "2026-01-08",
"certification_date": "2026-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "62472",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "38069",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wichita Falls, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.