Organization Active NPI

Professional Services of Sherry Mullins LLC

  • Professional Counselor
  • Royal Oak, MI
National Provider Identifier
1609422369
Registry record updated Aug 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
PROFESSIONAL SERVICES OF SHERRY MULLINS LLC
Practice address
104 W 4TH St Ste 306
Royal Oak, MI 48067-3819
Phone
(248) 430-4224
NPI assigned
Aug 16, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2019

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

Authorized official

Name
Ms. Sharon Mullins, MA, LPCNPI 1801241732
Title
Professional Counselor
Phone
(248) 430-4224

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary
Adult Mental Health Clinic/Center 261QM0850X

Addresses

Primary practice location

104 W 4TH St Ste 306
Royal Oak, MI 48067-3819

Mailing address

104 W 4TH St Ste 306
Royal Oak, MI 48067-3819
Phone (248) 430-4224

Other identifiers 1

IdentifierTypeStateIssuer
6401005021OtherMILARA

Other names 1

  • Heyoka Counseling Services Doing business as

National Provider Directory

National Provider Directory

Locations

104 W 4th St
Ste 306
Royal Oak, MI 48067
Phone (248) 430-4224

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": "1565913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565913600000",
    "number": "1609422369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 W 4TH ST STE 306",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480673819",
            "telephone_number": "248-430-4224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 W 4TH ST STE 306",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480673819",
            "telephone_number": "248-430-4224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL SERVICES OF SHERRY MULLINS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-16",
        "last_updated": "2019-08-16",
        "status": "A",
        "authorized_official_last_name": "MULLINS",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "248-430-4224",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LARA",
            "identifier": "6401005021",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heyoka Counseling Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Royal Oak, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2019; 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.