Active NPI
Patricia Lynne Mullen, LPC
- Mental Health Counselor
- Mechanicsville, VA
National Provider Identifier
1619986007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 0701003244
- Practice address
- 6501 Mechanicsville Tpke
Suite 105
Mechanicsville, VA 23111-3698 - Phone
- (804) 270-1124
- NPI assigned
- Aug 5, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 0701003244 | VA | Primary |
Addresses
Primary practice location
6501 Mechanicsville Tpke
Suite 105
Mechanicsville, VA 23111-3698
Mailing address
6501 Mechanicsville Tpke
Suite 105
Mechanicsville, VA 23111-3698
Phone (804) 270-1124
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89619 | Other | VA | SENTARA PROVIDER NUMBER |
| 288225 | Other | VA | ANTHEM PROVIDER NUMBER |
| 397116 | Other | VA | MAMSI PROVIDER NUMBER |
| 5414695 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Mental Health | Current | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1619986007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6501 MECHANICSVILLE TPKE",
"address_2": "SUITE 105",
"city": "MECHANICSVILLE",
"state": "VA",
"postal_code": "231113698",
"telephone_number": "804-270-1124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6501 MECHANICSVILLE TPKE",
"address_2": "SUITE 105",
"city": "MECHANICSVILLE",
"state": "VA",
"postal_code": "231113698",
"telephone_number": "804-270-1124"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULLEN",
"first_name": "PATRICIA",
"middle_name": "LYNNE",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-05",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VA",
"license": "0701003244",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SENTARA PROVIDER NUMBER",
"identifier": "89619",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PROVIDER NUMBER",
"identifier": "288225",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI PROVIDER NUMBER",
"identifier": "397116",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5414695",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mechanicsville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.