Active NPI
Susan Lynn Mullens, MS LPC NCC ALPS CCAC
- Psychologist
- Elkins, WV
National Provider Identifier
1861612871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- WVPSYCHOLOGIST783
- Practice address
- 971 Harrison Ave
Youth Health Service Inc
Elkins, WV 26241 - Phone
- (304) 636-9450
- Fax
- (304) 636-7057
- NPI assigned
- May 1, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | WVLPC1063 | ||
| Psychologist | 103T00000X | WVPSYCHOLOGIST783 | Primary |
Addresses
Primary practice location
971 Harrison Ave
Youth Health Service Inc
Elkins, WV 26241
Mailing address
PO Box 1848
Elkins, WV 26241
Phone (304) 614-7177
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0023397001 | Medicaid | WV |
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
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1861612871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1848",
"city": "ELKINS",
"state": "WV",
"postal_code": "26241",
"telephone_number": "304-614-7177",
"fax_number": "304-636-7507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "971 HARRISON AVE",
"address_2": "YOUTH HEALTH SERVICE INC",
"city": "ELKINS",
"state": "WV",
"postal_code": "26241",
"telephone_number": "304-636-9450",
"fax_number": "304-636-7057"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULLENS",
"first_name": "SUSAN",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "MS LPC NCC ALPS CCAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-01",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": "WVLPC1063",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": "WVPSYCHOLOGIST783",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0023397001",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Elkins, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.