Individual provider Active NPI

Joseph Matthew Mull, LPCC, LCADC, LPC

  • Mental Health Counselor
  • Louisville, KY
National Provider Identifier
1366742025
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
KY-1538
Practice address
350 Evergreen Rd
Louisville, KY 40243-1010
Phone
(252) 342-0050
NPI assigned
Oct 28, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X ADCLAD00225099 KY
Mental Health Counselor 101YM0800X KY-1538 Primary

Addresses

Primary practice location

350 Evergreen Rd
Louisville, KY 40243-1010

Mailing address

350 Evergreen Rd Ste 107
Louisville, KY 40243-1010
Phone (252) 342-0050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20241216001021 KY Practitioner - Mental Health Counselor 0941736870 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ADCLAD00225099KYMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph Mull Counseling Services CurrentSince May 21, 2024 Accepting new patients
Latched Louisville LLC Past Accepting new patients

Locations

350 Evergreen Rd
Ste 108
Louisville, KY 40243
Phone (502) 209-9178

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1288224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1366742025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 EVERGREEN RD STE 107",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402431010",
            "telephone_number": "252-342-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 EVERGREEN RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402431010",
            "telephone_number": "252-342-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULL",
        "first_name": "JOSEPH",
        "middle_name": "MATTHEW",
        "name_prefix": "Mr.",
        "credential": "LPCC, LCADC, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-10-28",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KY",
            "license": "ADCLAD00225099",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": "KY-1538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.