Individual provider Active NPI

Kevin Mullins, LPC

  • Professional Counselor
  • Auburn, AL
National Provider Identifier
1326589995
Registry record updated Mar 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3042 Issued in AL
Practice address
890 N Dean Rd
Suite 100
Auburn, AL 36830-9440
Phone
(334) 332-4447
NPI assigned
Mar 16, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 3042 AL Primary

Addresses

Primary practice location

890 N Dean Rd
Suite 100
Auburn, AL 36830-9440

Mailing address

2135 Interstate Dr
Suite 202
Opelika, AL 36801-1526
Phone (334) 332-4447

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

LicenseStateTypeSpecialty
3042ALMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Alabama Center for Trauma Therapy Current Accepting new patients

Locations

2135 Interstate Dr
Opelika, AL 36801
Phone (334) 246-1313

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": "1489622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490572800000",
    "number": "1326589995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2135 INTERSTATE DR",
            "address_2": "SUITE 202",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368011526",
            "telephone_number": "334-332-4447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 N DEAN RD",
            "address_2": "SUITE 100",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368309440",
            "telephone_number": "334-332-4447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLINS",
        "first_name": "KEVIN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-16",
        "last_updated": "2017-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "3042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2017; 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.