ROBERT P. MULLEN LPC-S
NPI 1619542107
Counselor - Mental Health in Southlake, TX

Q: What is Robert Mullen's NPI number?

The NPI number for Robert Mullen is 1619542107. It was assigned to this individual provider in the NPPES registry on May 26, 2021.

Q: What is Robert Mullen's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: Is Robert Mullen enrolled in Medicare?

No. Robert Mullen has opted out of Medicare through October 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Robert Mullen was last updated on May 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 26, 2021Opted out of Medicare · through Oct 1, 2028

431 E STATE HIGHWAY 114 STE 140, SOUTHLAKE, TX 76092(844) 824-8775 Get Directions Write a Review

NPPES record last updated: May 28, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

On this page

About Robert P. Mullen Lpc-s NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROBERT P. MULLEN LPC-S (NPI 1619542107) is an individual mental health provider in Southlake, Texas, licensed in Texas (15470) and active in the NPI registry since May 2021. He has opted out of Medicare through October 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1619542107

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameROBERT P. MULLENCredential: LPC-S

Location Address431 E STATE HIGHWAY 114 STE 140Southlake, TX 76092-4412

Mailing Address431 E State Highway 114 Ste 140Southlake, TX 76092-4412 · (844) 824-8775

Phone(844) 824-8775

Sole ProprietorYes

Enumeration DateMay 26, 2021

Last NPPES UpdateMay 28, 2024

NPPES CertifiedMay 28, 2024

✔ NPI 1619542107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in TX · 15470

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 15470 (TX)

431 E STATE HIGHWAY 114 STE 140, Southlake, TX 76092

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health of TX, Blue Cross and Blue Shield of Texas, Oscar Insurance Company and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Robert P. Mullen Lpc-s has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2026 through October 1, 2028.

Opt-Out Effective DateOctober 1, 2026

Opt-Out In Effect ThroughOctober 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DESTINEE NICHOLE GREENWELL LPC, LCDC

Counselor (Mental Health)