Active NPI
Cindy Mullen, MS, CADC II, CCDP
- Addiction (Substance Use Disorder) Counselor
- Jackson, GA
National Provider Identifier
1689061558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 303
- Practice address
- 463 Ernest Biles Dr
Jackson, GA 30233-2229 - Phone
- (770) 358-8327
- Fax
- (678) 774-6955
- NPI assigned
- Apr 18, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 303 | GA | Primary |
Addresses
Primary practice location
463 Ernest Biles Dr
Jackson, GA 30233-2229
Mailing address
463 Ernest Biles Dr
Jackson, GA 30233-2229
Phone (770) 358-8327
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 303 | GA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429315200000",
"number": "1689061558",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "463 ERNEST BILES DR",
"city": "JACKSON",
"state": "GA",
"postal_code": "302332229",
"telephone_number": "770-358-8327",
"fax_number": "678-774-6955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "463 ERNEST BILES DR",
"city": "JACKSON",
"state": "GA",
"postal_code": "302332229",
"telephone_number": "770-358-8327",
"fax_number": "678-774-6955"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULLEN",
"first_name": "CINDY",
"credential": "MS, CADC II, CCDP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-04-18",
"last_updated": "2015-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "GA",
"license": "303",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jackson, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.