Mary Beth Mullenholz, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

178-003073 Issued in IL

Practice address

27W350 High Lake Rd
Winfield, IL 60190-1262

Phone

(630) 933-3519

Fax

(630) 933-1399

NPI assigned

Apr 9, 2014

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 identifiers 2

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": "1397001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397001600000",
    "number": "1528487287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27W350 HIGH LAKE RD",
            "city": "WINFIELD",
            "state": "IL",
            "postal_code": "601901262",
            "telephone_number": "630-933-3519",
            "fax_number": "630-933-1399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27W350 HIGH LAKE RD",
            "city": "WINFIELD",
            "state": "IL",
            "postal_code": "601901262",
            "telephone_number": "630-933-3519",
            "fax_number": "630-933-1399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLENHOLZ",
        "first_name": "MARY BETH",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-09",
        "last_updated": "2014-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178-003073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IL DEPT OF FINANCIAL & PROFESSIONAL REGULATION",
            "identifier": "178-003073",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IL DEPT. OF FINANCIAL & PROFESSIONAL REGULATION",
            "identifier": "178-003073",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kashif A Mufti, MD
• Huma Mujadad, MD
• Eldin Mujkanovic, CSFA
• Tracy L Muklewicz, LCPC
• Bretton Mularski, M.D.
• Krystine M. Mullins, AU.D., CCC/A
• Shaham S Mumtaz, MD
• Sarat C Munukutla, MD
• Linda Hensleigh Jean Murphy, MPH RD LD
• Jennifer Ashley Murray, PT, DPT

• Mental Health Counselor in Winfield, IL
• Providers in Winfield, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2014; 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.