Timothy Mullins
Individual provider Active NPI Marriage & Family Therapist · Denver, CA
NPI 1497260723 · NPPES record last updated Nov 28, 2023
Key facts
- NPI
- 1497260723
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 0001604 (CO)
- Practice address
- 5100 Osceola St
Denver, CA 80212 - Phone
- (720) 935-7336
- NPI assigned
- Dec 8, 2017
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Marriage and Family Therapist
- Education
- Other, 2016
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
5100 Osceola St
Denver, CO 80212-2604
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260318000927 | CO | Practitioner - Marriage and Family Therapist | 5193209278 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0001604 | CO | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Resilience Marriage and Family Therapy | Marriage & Family Therapist | Current |
Accepting new patients |
Locations
10200 W 44th Ave
Ste 430A
Wheat Ridge, CO 80033
Phone (720) 935-7336
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 0001604 | CO | Yes |
| Marriage & Family Therapist | 106H00000X | CO |
Addresses
Primary practice location
5100 Osceola St
Denver, CA 80212
Mailing address
5100 Osceola St
Denver, CO 80212-2604
Other providers in Denver, CA
All providers in Denver, CA · Marriage & Family Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 28, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.