Active NPI
Sharon Mullins, LPC
- Professional Counselor
- Royal Oak, MI
National Provider Identifier
1801241732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 6401005021
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6401005021 | MI | MD | Poetry Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Services of Sherry Mullins LLC | Professional | Current | 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.
-
dba Heyoka Counseling Services
- Professional Counselor
- Royal Oak, MI
- NPI 1609422369
-
dba Heyoka Counseling Service
- Community/Behavioral Health Agency
- Farmington, MI
- NPI 1144605197
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.