NPIMap

Organization Active NPI

Lennie S Mullis

  • Community/Behavioral Health Agency
  • Columbia, SC
National Provider Identifier
1659770857
Registry record updated Aug 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
5741 Issued in SC
Legal business name
LENNIE S MULLIS
Practice address
1002 Lofty Pine Dr
Columbia, SC 29212-2040
Phone
(803) 289-4298
Fax
(803) 781-4437
NPI assigned
Aug 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2014

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

Authorized official

Name
Lennie S Mullis, LPCNPI 1376884551
Title
Counselor
Phone
(803) 289-4298

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 5741 SC Primary

Addresses

Primary practice location

1002 Lofty Pine Dr
Columbia, SC 29212-2040

Mailing address

1002 Lofty Pine Dr
Columbia, SC 29212-2040
Phone (803) 289-4298

National Provider Directory

National Provider Directory

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": "1407974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407974400000",
    "number": "1659770857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 LOFTY PINE DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292122040",
            "telephone_number": "803-289-4298",
            "fax_number": "803-781-4437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 LOFTY PINE DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292122040",
            "telephone_number": "803-289-4298",
            "fax_number": "803-781-4437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LENNIE S MULLIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-14",
        "last_updated": "2014-08-14",
        "status": "A",
        "authorized_official_last_name": "MULLIS",
        "authorized_official_first_name": "LENNIE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "803-289-4298",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "SC",
            "license": "5741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2014; 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.