Active NPI
Tim J Mullins, LPC
- Counselor
- Fort Collins, CO
National Provider Identifier
1598475436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 0018773
- Practice address
- 400 E Horsetooth Rd
Fort Collins, CO 80525-3189 - Phone
- (303) 324-1324
- NPI assigned
- Dec 1, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 0018773 | CO | Primary |
Addresses
Primary practice location
400 E Horsetooth Rd
Fort Collins, CO 80525-3189
Mailing address
3601 Wescott CT
Fort Collins, CO 80525-9690
Phone (303) 324-1324
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0018773 | CO | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669852800000",
"number": "1598475436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3601 WESCOTT CT",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805259690",
"telephone_number": "303-324-1324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 E HORSETOOTH RD",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805253189",
"telephone_number": "303-324-1324"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULLINS",
"first_name": "TIM",
"middle_name": "J",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-12-01",
"last_updated": "2022-12-01",
"certification_date": "2022-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CO",
"license": "0018773",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.