Individual provider Active NPI

Sarajane Morse Mullins, LMHC

  • Mental Health Counselor
  • Peabody, MA
National Provider Identifier
1487159539
Registry record updated Mar 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
10544 Issued in MA
Practice address
3 Essex Green Dr # 6
Peabody, MA 01960-2927
Phone
(617) 807-0359
NPI assigned
Mar 29, 2018
Last updated
Mar 29, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 10544 MA Primary

Addresses

Primary practice location

3 Essex Green Dr # 6
Peabody, MA 01960-2927

Mailing address

3 Essex Green Dr # 6
Peabody, MA 01960-2927
Phone (617) 807-0359

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20240312000394 MA Practitioner - Mental Health Counselor 5395181465 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eliot Community Human ServicesGroup PAC ID 2062488000, 82 clinicians

Practice addresses (Care Compare)

75 Sylvan St
Danvers, MA 01923-2763
Phone (978) 619-6850

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10544MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mullins Counseling Collaborative Inc Mental Health Current Accepting new patients
Eliot Community Human Services Current Accepting new patients
Eliot Community Human Services CurrentSince Jan 30, 2024 Accepting new patients

Locations

75 Sylvan St
Danvers, MA 01923
Phone (978) 212-1010

125 Hartwell Ave
Lexington, MA 02421
Phone (781) 734-2060

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1522281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522281600000",
    "number": "1487159539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 ESSEX GREEN DR # 6",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019602927",
            "telephone_number": "617-807-0359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 ESSEX GREEN DR # 6",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "019602927",
            "telephone_number": "617-807-0359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLINS",
        "first_name": "SARAJANE",
        "middle_name": "MORSE",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-29",
        "last_updated": "2018-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "10544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peabody, MA

Sources for this page

Verify at the official NPI Registry.