Active NPI
Charlotte Mulgrew
- Professional Counselor
- Dallas, TX
National Provider Identifier
1316538978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 81690
- Practice address
- 1409 Botham Jean Blvd Apt 416
Dallas, TX 75215-6805 - Phone
- (469) 202-0270
- Fax
- (469) 214-2688
- NPI assigned
- Jan 27, 2021
- Last updated
- Jan 2, 2024
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 81690 | TX | Primary |
Addresses
Primary practice location
1409 Botham Jean Blvd Apt 416
Dallas, TX 75215-6805
Mailing address
1409 Botham Jean Blvd Apt 416
Dallas, TX 75215-6805
Phone (469) 202-0270
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 |
|---|---|---|---|
| 81690 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shizen Counseling | Professional | Current | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Professional Counselor
- Dallas, TX
- NPI 1275245359
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704153600000",
"number": "1316538978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1409 BOTHAM JEAN BLVD APT 416",
"city": "DALLAS",
"state": "TX",
"postal_code": "752156805",
"telephone_number": "469-202-0270",
"fax_number": "469-214-2688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1409 BOTHAM JEAN BLVD APT 416",
"city": "DALLAS",
"state": "TX",
"postal_code": "752156805",
"telephone_number": "469-202-0270",
"fax_number": "469-214-2688"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULGREW",
"first_name": "CHARLOTTE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-01-27",
"last_updated": "2024-01-02",
"certification_date": "2024-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "81690",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.