Individual provider Active NPI

Julie Mullins, MA, LPCA

  • Professional Counselor
  • North Myrtle Beach, SC
National Provider Identifier
1649805441
Registry record updated Mar 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
7328 Issued in SC
Practice address
110 Ye Olde Kings Hwy
North Myrtle Beach, SC 29582-4384
Phone
(843) 663-0770
Fax
(843) 663-0772
NPI assigned
Mar 12, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 7328 SC Primary

Addresses

Primary practice location

110 Ye Olde Kings Hwy
North Myrtle Beach, SC 29582-4384

Mailing address

110 Ye Olde Kings Hwy
North Myrtle Beach, SC 29582-4384
Phone (843) 663-0770

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
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Counseling & Wellness CurrentSince Mar 22, 2020 Accepting new patients

Locations

110 Ye Olde Kings Hwy
North Myrtle Beach, SC 29582
Phone (843) 663-0770

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": "1583971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583971200000",
    "number": "1649805441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 YE OLDE KINGS HWY",
            "city": "NORTH MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295824384",
            "telephone_number": "843-663-0770",
            "fax_number": "843-663-0772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 YE OLDE KINGS HWY",
            "city": "NORTH MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295824384",
            "telephone_number": "843-663-0770",
            "fax_number": "843-663-0772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLINS",
        "first_name": "JULIE",
        "credential": "MA, LPCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-12",
        "last_updated": "2020-03-12",
        "certification_date": "2020-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "7328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Myrtle Beach, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2020; 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.