Active NPI
Kendra Marie McMullen, PC
- Mental Health Counselor
- Fort Thomas, KY
National Provider Identifier
1699213942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- C.1300172
- Practice address
- 1000 S Fort Thomas Ave
Fort Thomas, KY 41075-2305 - Phone
- (859) 572-6768
- NPI assigned
- Feb 7, 2017
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | C.1300172 | OH | Primary |
Addresses
Primary practice location
1000 S Fort Thomas Ave
Fort Thomas, KY 41075-2305
Mailing address
2010 Blue Bell Dr
Cincinnati, OH 45224-2859
Phone (513) 374-5583
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C.1300172 | OH | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486425600000",
"number": "1699213942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2010 BLUE BELL DR",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452242859",
"telephone_number": "513-374-5583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 S FORT THOMAS AVE",
"city": "FORT THOMAS",
"state": "KY",
"postal_code": "410752305",
"telephone_number": "859-572-6768"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCMULLEN",
"first_name": "KENDRA",
"middle_name": "MARIE",
"credential": "PC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-07",
"last_updated": "2017-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "C.1300172",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Thomas, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.