Active NPI
Judee L Mulhollen, ED.D., M.ED., LSW
- Counselor
- Akron, OH
National Provider Identifier
1679794879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- S-0028458
- Practice address
- 10 Penfield Ave
Akron, OH 44310-2912 - Phone
- (330) 762-6110
- Fax
- (330) 253-6810
- NPI assigned
- May 2, 2007
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | S-0028458 | OH | Primary |
Addresses
Primary practice location
10 Penfield Ave
Akron, OH 44310-2912
Mailing address
12115 Lisa St NW
Hartville, OH 44632-9637
Phone (330) 354-9543
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 Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S-0028458 | OH | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723766400000",
"number": "1679794879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12115 LISA ST NW",
"city": "HARTVILLE",
"state": "OH",
"postal_code": "446329637",
"telephone_number": "330-354-9543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 PENFIELD AVE",
"city": "AKRON",
"state": "OH",
"postal_code": "443102912",
"telephone_number": "330-762-6110",
"fax_number": "330-253-6810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULHOLLEN",
"first_name": "JUDEE",
"middle_name": "L",
"credential": "ED.D., M.ED., LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-02",
"last_updated": "2024-08-16",
"certification_date": "2024-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OH",
"license": "S-0028458",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Akron, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.