Active NPI
Professional Services of Sherry Mullins LLC
- Professional Counselor
- Royal Oak, MI
National Provider Identifier
1609422369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Sharon Mullins, MA, LPC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6401005021 | Other | MI | LARA |
Other names 1
- Heyoka Counseling Services
National Provider Directory
National Provider DirectoryLocations
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.
-
- Professional Counselor
- Royal Oak, MI
- NPI 1801241732
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.