Individual provider Active NPI

Deborah E Mullins, LMHC

  • Mental Health Counselor
  • Poughkeepsie, NY
National Provider Identifier
1265777437
Registry record updated Jun 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
004818-1 Issued in NY
Practice address
21 Fairmont Ave
Poughkeepsie, NY 12603-2409
Phone
(914) 557-4088
Fax
(845) 215-0744
NPI assigned
Nov 29, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 24638 NY
Mental Health Counselor 101YM0800X 004818-1 NY Primary

Addresses

Primary practice location

21 Fairmont Ave
Poughkeepsie, NY 12603-2409

Mailing address

21 Fairmont Ave
Poughkeepsie, NY 12603-2409
Phone (914) 557-4088

Other identifiers 1

IdentifierTypeStateIssuer
12441153OtherNYCAQH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20260527003068 NY Practitioner - Mental Health Counselor 1254801673 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11 Raymond Ave
Suite 36
Poughkeepsie, NY 12603-2330
Phone (914) 557-4088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24638NYMDAddiction (Substance Use Disorder) Counselor
004818-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Deborah Mullins Licensed Mental Health Counselor PC Addiction (Substance Use Disorder) Current Accepting new patients

Locations

1285 Route 9
Ste 7
Wappingers Fl, NY 12590
Phone (845) 240-6204

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": "1354147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592352000000",
    "number": "1265777437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 FAIRMONT AVE",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126032409",
            "telephone_number": "914-557-4088",
            "fax_number": "845-215-0744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 FAIRMONT AVE",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126032409",
            "telephone_number": "914-557-4088",
            "fax_number": "845-215-0744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLINS",
        "first_name": "DEBORAH",
        "middle_name": "E",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-29",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "24638",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "004818-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12441153",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Poughkeepsie, NY

Sources for this page

Verify at the official NPI Registry.