Organization Active NPI

Randy Mullins, LPC, PLLC

  • Professional Counselor
  • Gastonia, NC
National Provider Identifier
1568533578
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
642 Issued in NC
Legal business name
RANDY MULLINS, LPC, PLLC
Practice address
1562 Union Rd Ste a
Gastonia, NC 28054-2210
Phone
(704) 813-2649
NPI assigned
Nov 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Randy Lee Mullins, LPC, PLLCNPI 1093702706
Title
Owner
Phone
(704) 813-2649

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YP2500X 642 NC Primary

Addresses

Primary practice location

1562 Union Rd Ste a
Gastonia, NC 28054-2210

Mailing address

1604 Elkhart Cir
Gastonia, NC 28054-7745
Phone (704) 718-1447

National Provider Directory

National Provider Directory

Locations

1562 Union Rd
Ste A
Gastonia, NC 28054
Phone (704) 813-2649

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1568533578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1604 ELKHART CIR",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280547745",
            "telephone_number": "704-718-1447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1562 UNION RD STE A",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280542210",
            "telephone_number": "704-813-2649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDY MULLINS, LPC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MULLINS",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-813-2649",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC, PLLC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.