Sheryl Mullin, MA, MFT, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

C2092 Issued in OR

Practice address

565 Union St NE
Suite 204
Salem, OR 97301-2477

Phone

(503) 371-7393

Fax

(503) 576-2634

NPI assigned

Apr 16, 2012

Last updated

Apr 16, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Infocus Counseling Services

  • Community/Behavioral Health Agency
  • Salem, OR
  • NPI 1922219393
  NPD (past) Authorized official

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

{
    "created_epoch": "1334534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334534400000",
    "number": "1417214487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2608 CASCADIA INDUSTRIAL ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973021159",
            "telephone_number": "503-371-7393",
            "fax_number": "503-576-2634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "565 UNION ST NE",
            "address_2": "SUITE 204",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973012477",
            "telephone_number": "503-371-7393",
            "fax_number": "503-576-2634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLIN",
        "first_name": "SHERYL",
        "credential": "MA, MFT, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-16",
        "last_updated": "2012-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OR",
            "license": "C2092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Viviane Mukangamije, BEHAVIOR TECHNICIAN
• Quintin Todd Muldoon
• Nicholas Carl Mull, CRM
• Shannon Marie Muller, PHARMD
• Zoe Muller, M.D
• Lauren Mullins
• Tamara S Mullins, FNP-BC
• Multi-Cultural Consultants, LTD (Freedom & Recovery Program)
• Christine Mumey, NP
• Lori Muncrief, FNP

• Counselor in Salem, OR
• Providers in Salem, OR by specialty
• Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.