KRISTAL MULLINS (NPI# 1003152257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003152257 |
| Entity Type | Individual |
| Full Name | KRISTAL MULLINS |
| Credential | LPCC |
| Practice Address |
75 College St Liberty KY 42539-3271 |
| Mailing Address |
Po Box 1080 Burkesville KY 42717-1080 |
| Practice Telephone | 8444350900 |
| Practice Fax Number | 2708584029 |
| Mailing Telephone | 2708586655 |
| Mailing Fax Number | 2708584027 |
| Enumeration Date | 2012-12-17 |
| Last Update Date | 2018-10-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
104258 | KY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100280340 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235495722 | Kristal Melissa Mullins | Occupational Therapist | 10829 155th St, Jamaica, NY 11433 | 2012-04-09 |
| Street Address |
75 COLLEGE ST |
| City | LIBERTY |
| State | KY |
| Zip Code | 42539-3271 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386788487 | Lake Cumberland District Health Dept | Public Health or Welfare | 75 College St, Liberty, KY 42539-3271 | 2007-02-20 |
| 1639551237 | Cumberland Family Medical Center, Inc. | Clinic/Center | 75 College St, Liberty, KY 42539-3271 | 2015-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710547211 | Adult Day Health, Inc. | Clinic/Center | 39 Hwy 49, Liberty, KY 42539 | 2019-06-17 |
| 1144521303 | David Antonio Medina | Chiropractor | 69 Hustonville St., Liberty, KY 42539 | 2010-11-04 |
| 1356677694 | Masata, Inc. | Community/Behavioral Health | 549 Middleburg St., Liberty, KY 42539 | 2009-10-21 |
| 1174798078 | Dr. Michele Beeler, D.m.d., Pllc | Dentist | 650 Whipp Avenue, Liberty, KY 42539 | 2008-04-23 |
| 1134314230 | Cundiff Family Chiropractic, Psc | Chiropractor | 256 N. Wallace Wilkinson Blvd., Liberty, KY 42539 | 2007-09-11 |
| 1770782633 | Lake Cumberland District Health | Public Health or Welfare | 2834 S. Us 127, Liberty, KY 42539 | 2007-07-12 |
| 1568596286 | Back and Body Chiropractic Center Inc. | Chiropractor | 69 Hustonville Street, Liberty, KY 42539 | 2007-03-15 |
| 1497890545 | Lake Cumberland District Health Department | Public Health or Welfare | 199 Adams Street, Liberty, KY 42539 | 2007-02-20 |
| 1891836581 | Stanford Family Medicine & Obstetrics Psc | Legal Medicine | 19 Abes Plaza, Old Hustonville Rd, Liberty, KY 42539 | 2007-02-08 |
| 1740331537 | Sheila Ann Ping | Speech-Language Pathologist | 7235 Thomas Ridge Road, Liberty, KY 42539 | 2007-01-16 |
| Find all providers in zip 42539 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003425448 | Herbert Douglas Geiger | Counselor | 949 Wellington Way, Liberty, MO 64068-1481 | 2020-07-30 |
| 1326683814 | Jacob Laton Wharton | Counselor | 1512 Ne 96th St Ste A, Liberty, MO 64068-7174 | 2019-11-08 |
| 1700321361 | Deena Watkins | Counselor | 9 Victory Dr Ste 2b, Liberty, MO 64068-3807 | 2017-01-05 |
| 1336591890 | Joshua Harms | Counselor | 7 Westowne St, Liberty, MO 64068-1166 | 2016-07-08 |
| 1396127056 | Mustang Medicine Works, LLC | Counselor | 25 Iselin St, Liberty, SC 29657-1508 | 2015-06-18 |
| 1124428016 | Mustang Medicine Works, LLC | Counselor | 5642 Moorefield Memorial Hwy., Liberty, SC 29657 | 2014-08-27 |
| 1780007344 | Robert Mason Burdine Jr. | Counselor | 314 Springdale Ave, Liberty, SC 29657-3807 | 2014-01-31 |
| 1598196123 | Kristi Robin Bohanon | Counselor | 84 Hustonville St, Liberty, KY 42539-3469 | 2013-12-08 |
| 1306186978 | Michael James Davis | Counselor | 1524 Ne 96th St Ste C, Liberty, MO 64068-1380 | 2013-02-19 |
| 1558625343 | Kelly R Brandsgaard | Counselor | 4 Westowne St Ste 403, Liberty, MO 64068-3511 | 2012-06-27 |
| Find all providers in LIBERTY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.