Active NPI
Timothy Mullins, MA
- Mental Health Counselor
- Rimrock, AZ
National Provider Identifier
1588080279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 18173
- Practice address
- 4485 N Eagle Cir
Rimrock, AZ 86335-5136 - Phone
- (928) 300-0071
- NPI assigned
- Mar 5, 2014
- Last updated
- Apr 16, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 18173 | AZ | MD | Mental Health Counselor |
| 8511927-6010 | UT | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tim Mullins LPC LLC | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.