Jason Mulholland, MS, ATC, CSCS

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

602 S 42ND St
Mount Vernon, IL 62864-6264

Phone

(618) 242-1100

Fax

(618) 244-5147

NPI assigned

Aug 26, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1125014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1346233152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2885 COUNTY ROAD 214",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637019009",
            "telephone_number": "573-335-5805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 S 42ND ST",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628646264",
            "telephone_number": "618-242-1100",
            "fax_number": "618-244-5147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULHOLLAND",
        "first_name": "JASON",
        "credential": "MS, ATC, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-26",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MO",
            "license": "2004030999",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mt Vernon Spine and Disc Center, LLC
• Mt Vernon TWP HS Dist 201
• Mt. Vernon Chiropractic Clinic, PLLC
• Mt. Vernon Eye Clinic, PLLC
• Mt. Vernon OB-GYN LLC
• Mulvaney Rehab Services LTD
• James M Mulvaney
• Laurie Mulvaney, S.T.
• Scott Murfin, DPT
• Michael Murray, PA-C

• Athletic Trainer in Mount Vernon, IL
• Providers in Mount Vernon, IL by specialty
• Athletic Trainer in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.