Individual provider Active NPI

Brian Paul Mullan

  • Professional Counselor
  • Lansdowne, PA
National Provider Identifier
1740893643
Registry record updated Aug 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC012598 Issued in PA
Practice address
31 E la Crosse Ave Apt B
Lansdowne, PA 19050-2002
Phone
(484) 410-1127
NPI assigned
Aug 28, 2020
Last updated
Aug 28, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2020

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 PC012598 PA Primary

Addresses

Primary practice location

31 E la Crosse Ave Apt B
Lansdowne, PA 19050-2002

Mailing address

31 E la Crosse Ave Apt B
Lansdowne, PA 19050-2002
Phone (484) 410-1127

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20231209000497 PA Practitioner - Mental Health Counselor 3779932207 Reassigns benefits to 4 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
Group practices
Mental Health Specialty Group PAGroup PAC ID 8921466228, 726 clinicians
Thrive Counseling LLCGroup PAC ID 0749458420, 1,187 clinicians

Practice addresses (Care Compare)

1650 Market St
Philadelphia, PA 19103-7301
Phone (323) 205-7088

22 S 40TH St
Suite 201B
Philadelphia, PA 19104-5827
Phone (855) 284-7483

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC012598PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Human Services, Inc. CurrentSince Mar 23, 2024 Accepting new patients
Thrive Counseling LLC CurrentSince Jan 1, 2024 Accepting new patients
Human Services, Inc CurrentSince Mar 23, 2024 Accepting new patients
Human Services, Inc Current Accepting new patients
Twenty-2 Management Group LLC CurrentSince Jan 1, 2024 Accepting new patients
Mental Health Specialty Group PA Professional CurrentSince Aug 1, 2025 Accepting new patients

Locations

397 Eagleview Blvd
Ste 120
Exton, PA 19341
Phone (610) 215-7367

1650 Market St
Philadelphia, PA 19103
Phone (215) 514-0760

22 S 40th St
Ste 201B
Philadelphia, PA 19104
Phone (267) 440-7066

5830 Ellsworth Ave
Ste 301
Pittsburgh, PA 15232
Phone (412) 208-6279

50 James Buchanan Rd
Thorndale, PA 19372
Phone (610) 200-6222

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1598572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598572800000",
    "number": "1740893643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 E LA CROSSE AVE APT B",
            "city": "LANSDOWNE",
            "state": "PA",
            "postal_code": "190502002",
            "telephone_number": "484-410-1127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 E LA CROSSE AVE APT B",
            "city": "LANSDOWNE",
            "state": "PA",
            "postal_code": "190502002",
            "telephone_number": "484-410-1127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLAN",
        "first_name": "BRIAN",
        "middle_name": "PAUL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-28",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC012598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansdowne, PA

Sources for this page

Verify at the official NPI Registry.