Organization Active NPI

Mullins Counseling Collaborative Inc

  • Mental Health Counselor
  • Woburn, MA
National Provider Identifier
1346827896
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MULLINS COUNSELING COLLABORATIVE INC
Practice address
400 Tradecenter Ste 5900
Woburn, MA 01801-7471
Phone
(617) 807-0359
Fax
(617) 249-1686
NPI assigned
Mar 29, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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

Authorized official

Name
Ms. Sarajane Mullins, LMHCNPI 1487159539
Title
Owner
Phone
(617) 807-0359

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

400 Tradecenter Ste 5900
Woburn, MA 01801-7471

Mailing address

36 Elm St
Wakefield, MA 01880-1531
Phone (978) 325-1987

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1616976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616976000000",
    "number": "1346827896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 ELM ST",
            "city": "WAKEFIELD",
            "state": "MA",
            "postal_code": "018801531",
            "telephone_number": "978-325-1987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 TRADECENTER STE 5900",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018017471",
            "telephone_number": "617-807-0359",
            "fax_number": "617-249-1686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULLINS COUNSELING COLLABORATIVE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-29",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-05",
        "status": "A",
        "authorized_official_last_name": "MULLINS",
        "authorized_official_first_name": "SARAJANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-807-0359",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woburn, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; 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.