Active NPI
James William McMullen II, M.S.ED., LPCA, NCC
- Counselor
- Charlotte, NC
National Provider Identifier
1336491372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- A9664
- Practice address
- 3719 Latrobe Dr
Suite 830
Charlotte, NC 28211-4861 - Phone
- (704) 998-1760
- Fax
- (704) 568-1565
- NPI assigned
- Oct 15, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | A9664 | NC | Primary |
| School Counselor | 101YS0200X | SOE-0608178 | VA |
Addresses
Primary practice location
3719 Latrobe Dr
Suite 830
Charlotte, NC 28211-4861
Mailing address
6311 Windsor Gate LN
Charlotte, NC 28215-4225
Phone (757) 749-5345
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 |
|---|---|---|---|
| A9664 | NC | MD | Counselor |
| SOE-0608178 | VA | MD | School Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350259200000",
"number": "1336491372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6311 WINDSOR GATE LN",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282154225",
"telephone_number": "757-749-5345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3719 LATROBE DR",
"address_2": "SUITE 830",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282114861",
"telephone_number": "704-998-1760",
"fax_number": "704-568-1565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCMULLEN",
"first_name": "JAMES",
"middle_name": "WILLIAM",
"name_prefix": "Mr.",
"name_suffix": "II",
"credential": "M.S.ED., LPCA, NCC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-10-15",
"last_updated": "2012-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NC",
"license": "A9664",
"primary": true
},
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "VA",
"license": "SOE-0608178",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.