Individual provider Active NPI

Courtney Mullins, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Lake Mary, FL
National Provider Identifier
1215267455
Registry record updated Apr 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA 7616 Issued in FL
Practice address
849 Arbormoor PL
Lake Mary, FL 32746-7019
Phone
(407) 328-0182
Fax
(407) 323-6257
NPI assigned
Jan 11, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SA 7616 FL Primary

Addresses

Primary practice location

849 Arbormoor PL
Lake Mary, FL 32746-7019

Mailing address

849 Arbormoor PL
Lake Mary, FL 32746-7019
Phone (407) 328-0182

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SA 7616FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Central Florida Therapy, Inc. Speech-Language Pathologist CurrentSince Jun 1, 2022 Accepting new patients
Courtney Mullins Speech-Language Pathologist Past Accepting new patients

Locations

245 Bellagio Cir
Sanford, FL 32771
Phone (407) 242-5501

3440 Saint Johns Pkwy
Ste 1050
Sanford, FL 32771
Phone (407) 878-7664

Organizations & group practices 2

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": "1263168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461888000000",
    "number": "1215267455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "849 ARBORMOOR PL",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327467019",
            "telephone_number": "407-328-0182",
            "fax_number": "407-323-6257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "849 ARBORMOOR PL",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327467019",
            "telephone_number": "407-328-0182",
            "fax_number": "407-323-6257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLINS",
        "first_name": "COURTNEY",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-11",
        "last_updated": "2016-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA 7616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Mary, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2016; 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.