Staci Lenae Mullinax, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

33673 Issued in TX

Practice address

11777 Katy Fwy Ste 350
Houston, TX 77079

Phone

(713) 365-0700

Fax

(713) 827-1080

NPI assigned

Apr 22, 2008

Last updated

Aug 3, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Clinical Social Worker

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Mullinax Counseling PLLC

  • Clinical Social Worker
  • Houston, TX
  • NPI 1013613439
  Medicare reassignment NPD Authorized official
• Innova Mind and Body

  • Psychiatric/Mental Health Nurse Practitioner
  • Cypress, TX
  • NPI 1649959818
  NPD (past)
• Renewing Hope Counseling, LLC

  • Mental Health Counselor
  • Houston, TX
  • NPI 1700110871
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533254400000",
    "number": "1336313212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11777 KATY FWY STE 350",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770791721",
            "telephone_number": "713-365-0700",
            "fax_number": "713-827-1080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11777 KATY FWY STE 350",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77079",
            "telephone_number": "713-365-0700",
            "fax_number": "713-827-1080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLINAX",
        "first_name": "STACI",
        "middle_name": "LENAE",
        "name_prefix": "Mrs.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-22",
        "last_updated": "2018-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "33673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Nicole Mullikin, COTA
• Claudia Iris Mullin, LMSW
• Mullinax Counseling PLLC
• Jenna Marie Mullinax
• Joan E Mullinax, LPC INTERN
• Matthew Evans Mullings, CAA
• Shenella Mullings, OTR/L
• Carmen Mullins, OT
• Deborah Nmi Mullins, PH.D.
• Holly Karen Mullins

• Clinical Social Worker in Houston, TX
• Providers in Houston, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.