Individual provider Active NPI

Meghan Kelsea Mulligan, LMHC

  • Mental Health Counselor
  • St Petersburg, FL
National Provider Identifier
1750016135
Registry record updated Oct 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH20995 Issued in FL
Practice address
900 Carillon Pkwy Ste 200
St Petersburg, FL 33716-1108
Phone
(727) 519-2760
Fax
(727) 333-6384
NPI assigned
Jul 20, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH20995 FL Primary

Addresses

Primary practice location

900 Carillon Pkwy Ste 200
St Petersburg, FL 33716-1108

Mailing address

900 Carillon Pkwy Ste 200
St Petersburg, FL 33716-1108
Phone (727) 519-2760

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address meghan.mulliganlmhc@direct.mybaycare.org Health Information Exchange (HIE) BayCare Behavioral Health Inc.

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

LicenseStateTypeSpecialty
MH20995FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Health Management Services, Inc. Past Accepting new patients
Baycare Behavioral Health Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: meghan.mulliganlmhc@direct.mybaycare.org

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": "1658275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665100800000",
    "number": "1750016135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 CARILLON PKWY STE 200",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337161108",
            "telephone_number": "727-519-2760",
            "fax_number": "727-333-6384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 CARILLON PKWY STE 200",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337161108",
            "telephone_number": "727-519-2760",
            "fax_number": "727-333-6384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLIGAN",
        "first_name": "MEGHAN",
        "middle_name": "KELSEA",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-20",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH20995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "meghan.mulliganlmhc@direct.mybaycare.org",
            "affiliation": "Y",
            "affiliationName": "BayCare Behavioral Health Inc.",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2995 Drew St Fl 2",
            "city": "Clearwater",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337593012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.