Individual provider Active NPI

Sara Jean Mullins, LPC/MHSP

  • Professional Counselor
  • Cookeville, TN
National Provider Identifier
1689189847
Registry record updated Oct 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4111 Issued in TN
Practice address
418 N Willow Ave
Cookeville, TN 38501-2339
Phone
(866) 816-0433
NPI assigned
Dec 11, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2021

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 4111 TN Primary

Addresses

Primary practice location

418 N Willow Ave
Cookeville, TN 38501-2339

Mailing address

275 Cumberland BND
Nashville, TN 37228-1805
Phone (615) 726-3340

Other names 1

  • Sara Jean Strong Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240105000062 TN Practitioner - Mental Health Counselor 4284085143 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mental Health Cooperative, IncGroup PAC ID 5496798399, 47 clinicians
Magnolia Mental Health and Wellness LLCGroup PAC ID 0547619967, 4 clinicians

Practice addresses (Care Compare)

418 N Willow Ave
Cookeville, TN 38501-2339
Phone (866) 816-0433

420 S Lowe Ave
Suite 20
Cookeville, TN 38501-4718
Phone (931) 239-4039

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4111TNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Cooperative, Inc CurrentSince Jan 1, 2024 Accepting new patients
Magnolia Mental Health and Wellness LLC CurrentSince Apr 27, 2025 Accepting new patients

Locations

420 S Lowe Ave
Ste 20
Cookeville, TN 38501
Phone (931) 239-4039

418 N Willow Ave
Cookeville, TN 38501
Phone (931) 528-5936

275 Cumberland Bnd
Nashville, TN 37228
Phone (615) 726-3340

Organizations & group practices 2

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": "1512950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633564800000",
    "number": "1689189847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 CUMBERLAND BND",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372281805",
            "telephone_number": "615-726-3340",
            "fax_number": "615-743-1679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 N WILLOW AVE",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385012339",
            "telephone_number": "866-816-0433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLINS",
        "first_name": "SARA",
        "middle_name": "JEAN",
        "credential": "LPC/MHSP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-11",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "4111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "STRONG",
            "middle_name": "JEAN",
            "credential": "LPC/MHSP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cookeville, TN

Sources for this page

Verify at the official NPI Registry.