Thomas Mullens Counseling, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801089541 Issued in MI

Legal business name

THOMAS MULLENS COUNSELING, PLLC

Practice address

675 E 16TH St Ste 255
Holland, MI 49423-3752

Phone

(616) 403-0783

NPI assigned

May 27, 2014

Last updated

May 27, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Thomas Dion Mullens, LMSWNPI 1801978903

Title

Owner/Member

Phone

(616) 403-0783

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Thomas D Mullens, LMSW, CAADC

  • Clinical Social Worker
  • Holland, MI
  • NPI 1801978903
  NPD (past) Authorized official

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

{
    "created_epoch": "1401148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401148800000",
    "number": "1912319831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "579 LAWNDALE CT",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494234731",
            "telephone_number": "616-403-0783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 E 16TH ST STE 255",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494233752",
            "telephone_number": "616-403-0783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS MULLENS COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-27",
        "last_updated": "2014-05-27",
        "status": "A",
        "authorized_official_last_name": "MULLENS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "DION",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "616-403-0783",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801089541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Shoreline Family Dental Group PC
• The Trauma and Attachment Center of West Michigan
• The Wild Daughters
• Theraplaying, LLC
• Audrey Theye
• Leela Thomas Parrish
• Danielle Thomas
• Hope Thomas
• Joshua David Thomas, LMSW
• Latesa Thomas

• Clinical Social Worker in Holland, MI
• Providers in Holland, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2014; 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.