Kenneth Kurt Muellauer

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CDCA.175448 Issued in OH

Practice address

15600 Norway Ave
Cleveland, OH 44111-1963

Phone

(216) 671-5740

NPI assigned

May 27, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1622073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622073600000",
    "number": "1801462148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15600 NORWAY AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441111963",
            "telephone_number": "121-667-1574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15600 NORWAY AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441111963",
            "telephone_number": "216-671-5740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUELLAUER",
        "first_name": "KENNETH",
        "middle_name": "KURT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-27",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.175448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Lynn Mucic, AGACNP-BC
• Emily C Mudd, PHD
• Mythri Mudireddy, MD
• Naresh Reddy Mudireddy, MD
• Gina Marie Muehlheim, PSY.D.
• Claudia J Mueller, R.D.
• Heidi Mueller, MD
• Megan Mueller
• Linda Muhammad-Smith, L.S.W., L.C.D.C.III
• Enas Abdullah Muhammad

• Addiction (Substance Use Disorder) Counselor in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; 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.