Active NPI
Nicole Rodriguez Mullis, LPC, NCC
- Mental Health Counselor
- Hoover, AL
National Provider Identifier
1306511191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 4436
- Practice address
- 1349 Inverness Cove Dr
Hoover, AL 35242-4257 - Phone
- (205) 317-2177
- NPI assigned
- Aug 12, 2021
- 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 | 4436 | AL | Primary |
Addresses
Primary practice location
1349 Inverness Cove Dr
Hoover, AL 35242-4257
Mailing address
1349 Inverness Cove Dr
Hoover, AL 35242-4257
Phone (205) 317-2177
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 |
|---|---|---|---|
| 4436 | AL | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628726400000",
"number": "1306511191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1349 INVERNESS COVE DR",
"city": "HOOVER",
"state": "AL",
"postal_code": "352424257",
"telephone_number": "205-317-2177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1349 INVERNESS COVE DR",
"city": "HOOVER",
"state": "AL",
"postal_code": "352424257",
"telephone_number": "205-317-2177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULLIS",
"first_name": "NICOLE",
"middle_name": "RODRIGUEZ",
"credential": "LPC, NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-12",
"last_updated": "2021-08-12",
"certification_date": "2021-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "AL",
"license": "4436",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hoover, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.