Marie L Mullins, LCPC, CDE

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180.010003 Issued in IL

Practice address

1003 N Cummings LN
Washington, IL 61571-9646

Phone

(309) 444-1000

NPI assigned

Apr 16, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Marie L Ulrich 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": "1523836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523836800000",
    "number": "1467949487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "491 WHISPERING WINDS CT",
            "city": "METAMORA",
            "state": "IL",
            "postal_code": "615487812",
            "telephone_number": "309-231-8759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 N CUMMINGS LN",
            "city": "WASHINGTON",
            "state": "IL",
            "postal_code": "615719646",
            "telephone_number": "309-444-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "530 NE Glen Oak Ave Ste 1141",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "IL",
            "postal_code": "616370001",
            "country_code": "US",
            "telephone_number": "309-624-2480",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MULLINS",
        "first_name": "MARIE",
        "middle_name": "L",
        "credential": "LCPC, CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-16",
        "last_updated": "2018-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.010003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIE",
            "last_name": "ULRICH",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michael C Moon, DDS
• Lee Eugene Moore, DDS
• James C. Mosbach, D.C.
• Rita Ellen Mourisse, MA, CCC-SLP
• Martha J. Muller
• Kurt R Neelly, P. T.
• Stephanie Nelson
• Next Step Training, LTD.
• Angela Faith Nieukirk, COTA
• Serge Fon Njigeh

• Professional Counselor in Washington, IL
• Providers in Washington, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2018; 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.