Individual provider Active NPI

Anastassia Mullins, LPC

  • Professional Counselor
  • Bossier City, LA
National Provider Identifier
1356988224
Registry record updated Jun 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
8029 Issued in LA
Practice address
3018 Old Minden Rd Ste 1117
Bossier City, LA 71112-2497
Phone
(318) 584-7192
NPI assigned
Dec 10, 2019
Last updated
Jun 29, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X PLC8029 LA
Professional Counselor 101YP2500X 8029 LA Primary

Addresses

Primary practice location

3018 Old Minden Rd Ste 1117
Bossier City, LA 71112-2497

Mailing address

2175 Stockwell Rd Apt 1328
Bossier City, LA 71111-5767
Phone (318) 499-8881

Other practice location 1

222 Bell Ln Ste 3
West Monroe, LA 71291-6303
Phone (318) 329-2174

Other practice location 2

3421 Medical Park Dr
Monroe, LA 71203-2355
Phone (318) 966-4686

Other identifiers 1

IdentifierTypeStateIssuer
1831283670MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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

Enrollment IDStateProvider typePAC IDDetails
I20260316001916 LA Practitioner - Mental Health Counselor 5991288144 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PLC8029LAMDMental Health Counselor
8029LAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Aligning Minds Therapy and Consulting Professional Current Accepting new patients
Grow Healthcare Group PA Mental Health CurrentSince Feb 17, 2026 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1575936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656460800000",
    "number": "1356988224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2175 STOCKWELL RD APT 1328",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711115767",
            "telephone_number": "318-499-8881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3018 OLD MINDEN RD STE 1117",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711122497",
            "telephone_number": "318-584-7192"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "222 Bell Ln Ste 3",
            "address_purpose": "LOCATION",
            "city": "West Monroe",
            "state": "LA",
            "postal_code": "712916303",
            "country_code": "US",
            "telephone_number": "318-329-2174",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3421 Medical Park Dr",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "LA",
            "postal_code": "712032355",
            "country_code": "US",
            "telephone_number": "318-966-4686",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MULLINS",
        "first_name": "ANASTASSIA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-10",
        "last_updated": "2022-06-29",
        "certification_date": "2022-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "PLC8029",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "8029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1831283670",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bossier City, LA

Sources for this page

Verify at the official NPI Registry.