Organization Active NPI

Tim Mullins LPC LLC

  • Adult Mental Health Clinic/Center
  • Sedona, AZ
National Provider Identifier
1619736451
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
TIM MULLINS LPC LLC
Practice address
20 Bell Rock PLZ Ste G
Sedona, AZ 86351-9043
Phone
(928) 300-0071
NPI assigned
Mar 14, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

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

Authorized official

Name
Tim Mullins, MA, LPC
Title
Principal
Phone
(928) 300-0071

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

20 Bell Rock PLZ Ste G
Sedona, AZ 86351-9043

Mailing address

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

Other names 1

  • Tim Mullins LPC Doing business as

National Provider Directory

National Provider Directory

Locations

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

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": "1710374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710374400000",
    "number": "1619736451",
    "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": "20 BELL ROCK PLZ STE G",
            "city": "SEDONA",
            "state": "AZ",
            "postal_code": "863519043",
            "telephone_number": "928-300-0071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIM MULLINS LPC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-14",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A",
        "authorized_official_last_name": "MULLINS",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "928-300-0071",
        "authorized_official_credential": "MA, LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tim Mullins LPC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sedona, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; 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.