Individual provider Active NPI

Sharon Mullins, LPC

  • Professional Counselor
  • Royal Oak, MI
National Provider Identifier
1801241732
Registry record updated Aug 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401005021 Issued in MI
Practice address
104 W 4TH St Ste 306
Royal Oak, MI 48067-3819
Phone
(248) 430-4224
NPI assigned
Apr 28, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401005021 MI Primary
Mental Health Counselor 101YM0800X 6401005021 MI
Pastoral Counselor 101YP1600X 6401005021 MI
Poetry Therapist 102X00000X 6401005021 MI

Addresses

Primary practice location

104 W 4TH St Ste 306
Royal Oak, MI 48067-3819

Mailing address

104 W 4TH St Ste 306
Royal Oak, MI 48067-3819
Phone (248) 430-4224

Other names 1

  • Sharon Mullins-Olshavsky Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 15, 2024 through Jan 15, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6401005021MIMDPoetry Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Services of Sherry Mullins LLC Professional CurrentSince Aug 18, 2019 Accepting new patients

Locations

104 W 4th St
Ste 306
Royal Oak, MI 48067
Phone (248) 430-4224

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, 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": "1461801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565913600000",
    "number": "1801241732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 W 4TH ST STE 306",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480673819",
            "telephone_number": "248-430-4224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 W 4TH ST STE 306",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480673819",
            "telephone_number": "248-430-4224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLINS",
        "first_name": "SHARON",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-28",
        "last_updated": "2019-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401005021",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401005021",
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "MI",
            "license": "6401005021",
            "primary": false
        },
        {
            "code": "102X00000X",
            "taxonomy_group": "",
            "desc": "Poetry Therapist",
            "state": "MI",
            "license": "6401005021",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHARON",
            "last_name": "MULLINS-OLSHAVSKY",
            "credential": "MA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Royal Oak, MI

Sources for this page

Verify at the official NPI Registry.