Individual provider Active NPI

Leslie Kay Downs Mullen, MS. LMFT

  • Marriage & Family Therapist
  • Hiawatha, IA
National Provider Identifier
1891937108
Registry record updated Sep 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
00190 Issued in IA
Practice address
1560 Boyson Rd Suite 2
Hiawatha, IA 52233-2362
Phone
(319) 294-9206
Fax
(319) 294-6107
NPI assigned
Apr 1, 2009
Last updated
Sep 13, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 00190 IA Primary

Addresses

Primary practice location

1560 Boyson Rd Suite 2
Hiawatha, IA 52233-2362

Mailing address

1560 Boyson Rd Suite 2
Hiawatha, IA 52233-2362
Phone (319) 294-9206

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240425001554 IA Practitioner - Marriage and Family Therapist 8325488224 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1560 Boyson Rd
Suite 2
Hiawatha, IA 52233-2385
Phone (319) 294-9206

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Law

Practice roles

OrganizationSpecialtyStatusNew patients
Resilience Family Counseling, PLLC Marriage & Family Therapist CurrentSince Feb 19, 2024 Accepting new patients

Locations

1560 Boyson Rd
Ste 2
Hiawatha, IA 52233
Phone (319) 294-9206

Organizations & group practices 1

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": "1238544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663027200000",
    "number": "1891937108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 BOYSON RD SUITE 2",
            "city": "HIAWATHA",
            "state": "IA",
            "postal_code": "522332362",
            "telephone_number": "319-294-9206",
            "fax_number": "319-294-6107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 BOYSON RD SUITE 2",
            "city": "HIAWATHA",
            "state": "IA",
            "postal_code": "522332362",
            "telephone_number": "319-294-9206",
            "fax_number": "319-294-6107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOWNS MULLEN",
        "first_name": "LESLIE",
        "middle_name": "KAY",
        "credential": "MS. LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-01",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IA",
            "license": "00190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hiawatha, IA

Sources for this page

Verify at the official NPI Registry.