Individual provider Active NPI

Timothy Mullins, MA

  • Mental Health Counselor
  • Rimrock, AZ
National Provider Identifier
1588080279
Registry record updated Apr 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
18173 Issued in AZ
Practice address
4485 N Eagle Cir
Rimrock, AZ 86335-5136
Phone
(928) 300-0071
NPI assigned
Mar 5, 2014
Last updated
Apr 16, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 8511927-6010 UT
Mental Health Counselor 101YM0800X 18173 AZ Primary

Addresses

Primary practice location

4485 N Eagle Cir
Rimrock, AZ 86335-5136

Mailing address

4485 N Eagle Cir
Rimrock, AZ 86335-5136
Phone (928) 300-0071

Other practice location 1

20 Bell Rock Plz Ste G
Sedona, AZ 86351-9043
Phone (928) 300-0071

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20240515000537 AZ Practitioner - Mental Health Counselor 4385085836 Practice locations: Rimrock, AZ

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Rimrock, AZ 86335
Phone (928) 300-0071

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
18173AZMDMental Health Counselor
8511927-6010UTMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Tim Mullins LPC LLC CurrentSince Mar 17, 2024 Accepting new patients

Locations

20 Bell Rock Plz
Ste G
Sedona, AZ 86351
Phone (928) 300-0071

Organizations & group practices 1

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": "1393977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713225600000",
    "number": "1588080279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4485 N EAGLE CIR",
            "city": "RIMROCK",
            "state": "AZ",
            "postal_code": "863355136",
            "telephone_number": "928-300-0071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4485 N EAGLE CIR",
            "city": "RIMROCK",
            "state": "AZ",
            "postal_code": "863355136",
            "telephone_number": "928-300-0071"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 Bell Rock Plz Ste G",
            "address_purpose": "LOCATION",
            "city": "Sedona",
            "state": "AZ",
            "postal_code": "863519043",
            "country_code": "US",
            "telephone_number": "928-300-0071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MULLINS",
        "first_name": "TIMOTHY",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-05",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "8511927-6010",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "18173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rimrock, AZ

Sources for this page

Verify at the official NPI Registry.