Katie L Mulalley, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC-5000 Issued in ID

Practice address

353 N 4TH Ave
Ste 110
Pocatello, ID 83201-6390

Phone

(208) 233-7832

Fax

(208) 236-6695

NPI assigned

Mar 10, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Katie L Collins Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1268179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349913600000",
    "number": "1386967966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4908",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832054908",
            "telephone_number": "208-236-1600",
            "fax_number": "208-236-6695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 N 4TH AVE",
            "address_2": "STE 110",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832016390",
            "telephone_number": "208-233-7832",
            "fax_number": "208-236-6695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULALLEY",
        "first_name": "KATIE",
        "middle_name": "L",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-10",
        "last_updated": "2012-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "LPC-5000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "COLLINS",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mountain View Family Medicine, Inc
• Mountain View Hospital LLC (Pain and Spine Specialists of Idaho)
• Julia Lancaster Muckerman, CNM, MSN
• Terri L Muegerl, LMSW
• Sasha Marie Mueller
• Joel Mullikin
• Boston David Murdoch, DO
• Matthew Ayers Murdoch, M.D.
• Nicole Murdock, PHARMD
• Roger Franklin Murphy, PHARMD

• Professional Counselor in Pocatello, ID
• Providers in Pocatello, ID by specialty
• Professional Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.

Verify at the official NPI Registry.