Brian Robert McNulty, LPC-S

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2346 Issued in LA

Practice address

706 Kimberly Ann Cir
Mandeville, LA 70471-6732

Phone

(504) 931-8294

NPI assigned

Apr 3, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Brian Robert McNulty Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Specialty

Mental Health Counselor

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northlake Physicians GroupGroup PAC ID 9739457342, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Northlake Physicians Group

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mandeville, LA
  • NPI 1154855781
  Care Compare group

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579824000000",
    "number": "1407978455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 KIMBERLY ANN CIR",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704716732",
            "telephone_number": "504-931-8294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 KIMBERLY ANN CIR",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704716732",
            "telephone_number": "504-931-8294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNULTY",
        "first_name": "BRIAN",
        "middle_name": "ROBERT",
        "credential": "LPC-S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2020-01-24",
        "certification_date": "2020-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "2346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIAN",
            "last_name": "MCNULTY",
            "middle_name": "ROBERT",
            "credential": "LPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jennifer Denise McGrew, CNIM
• Cherie Disalvo McKevitt, PHARM D
• Courtney Harrison McLaughlin, M.S, CCC-SLP
• Thomas David McMichael Jr., D.D.S.
• McMillan Corporation
• Michael Mumme McShan Jr., M.ED., LPC, LAC, NCC
• Seth Conrad McVea, MD
• David Scott McWilliams, MPT
• Yancey Rizzo McWilliams, PT
• Natalie Mecklenborg, PHARM D

• Professional Counselor in Mandeville, LA
• Providers in Mandeville, LA by specialty
• Professional Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.