Organization Active NPI

Kris Mulhollen LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Tampa, FL
National Provider Identifier
1902425390
Registry record updated Apr 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
KRIS MULHOLLEN LLC
Practice address
1200 W Platt St Ste 202
Tampa, FL 33606-2136
Phone
(813) 618-3150
NPI assigned
Apr 15, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2020

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

Authorized official

Name
Mrs. Kris Rebecca Mulhollen, MA, LMHC
Title
Licensed Mental Health Counselor
Phone
(813) 618-3150

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

1200 W Platt St Ste 202
Tampa, FL 33606-2136

Mailing address

5124 Fallen Leaf Dr
Riverview, FL 33578-4738
Phone (813) 618-3150

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1586908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586908800000",
    "number": "1902425390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5124 FALLEN LEAF DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335784738",
            "telephone_number": "813-618-3150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 W PLATT ST STE 202",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336062136",
            "telephone_number": "813-618-3150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRIS MULHOLLEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-15",
        "last_updated": "2020-04-15",
        "certification_date": "2020-04-15",
        "status": "A",
        "authorized_official_last_name": "MULHOLLEN",
        "authorized_official_first_name": "KRIS",
        "authorized_official_middle_name": "REBECCA",
        "authorized_official_title_or_position": "LICENSED MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "813-618-3150",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, LMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2020; 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.