Individual provider Active NPI

Thomas Mullins

  • Professional Counselor
  • Beaufort, SC
National Provider Identifier
1730428285
Registry record updated Feb 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2274 Issued in SC
Practice address
12 Fairfield Rd Ste B3
Beaufort, SC 29907-2576
Phone
(843) 379-1003
NPI assigned
Feb 4, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2013

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 2274 SC Primary

Addresses

Primary practice location

12 Fairfield Rd Ste B3
Beaufort, SC 29907-2576

Mailing address

12 Fairfield Rd Ste B3
Beaufort, SC 29907-2576
Phone (843) 379-1003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20241204000374 SC Practitioner - Mental Health Counselor 8921534751 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bakers Counseling Services, LLCGroup PAC ID 0749598126, 2 clinicians

Practice addresses (Care Compare)

12 Fairfield Rd
Suite B3
Beaufort, SC 29907-2576
Phone (843) 379-1003

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2274SCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bakers Counseling Services, LLC CurrentSince Oct 6, 2024 Accepting new patients

Locations

12 Fairfield Rd
Ste B3
Beaufort, SC 29907
Phone (843) 379-1003

Organizations & group practices 1

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": "1359936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359936000000",
    "number": "1730428285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 FAIRFIELD RD STE B3",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299072576",
            "telephone_number": "843-379-1003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 FAIRFIELD RD STE B3",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299072576",
            "telephone_number": "843-379-1003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLINS",
        "first_name": "THOMAS",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-02-04",
        "last_updated": "2013-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "2274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaufort, SC

Sources for this page

Verify at the official NPI Registry.