Active NPI
Heather Sherae Mullins, LPCA
- Professional Counselor
- Raeford, NC
National Provider Identifier
1891175170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- A11619
- Practice address
- 112 E Elwood Ave
Raeford, NC 28376-2921 - Phone
- (910) 848-1928
- NPI assigned
- Jun 2, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | A11619 | NC | Primary |
Addresses
Primary practice location
112 E Elwood Ave
Raeford, NC 28376-2921
Mailing address
341 N Dougherty Dr
Fort Bragg, NC 28307-2252
Phone (910) 705-2915
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
| License | State | Type | Specialty |
|---|---|---|---|
| A11619 | NC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433203200000",
"number": "1891175170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "341 N DOUGHERTY DR",
"city": "FORT BRAGG",
"state": "NC",
"postal_code": "283072252",
"telephone_number": "910-705-2915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 E ELWOOD AVE",
"city": "RAEFORD",
"state": "NC",
"postal_code": "283762921",
"telephone_number": "910-848-1928"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULLINS",
"first_name": "HEATHER",
"middle_name": "SHERAE",
"name_prefix": "Mrs.",
"credential": "LPCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-02",
"last_updated": "2015-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "A11619",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raeford, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.