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SHANE D MULLEN
NPI 1679386486
Counselor - Addiction (Substance Use Disorder) in Grand Island, NE

Active since January 28, 2025
2112 W FAIDLEY AVE, GRAND ISLAND, NE 68803(308) 398-5427(308) 398-5404 Get Directions Write a Review

NPPES record last updated: January 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shane D Mullen NPPES

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

SHANE D MULLEN (NPI 1679386486) is an individual addiction (substance use disorder) provider in Grand Island, Nebraska, licensed in Nebraska (P-2248) and active in the NPI registry since January 2025.

NPPES Registry Identity

NPI1679386486
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameSHANE D MULLEN
Location Address2112 W FAIDLEY AVEGrand Island, NE 68803-4670
Mailing Address1342 N Baltimore AveHastings, NE 68901-2919 · (402) 831-0009
Phone(308) 398-5427
Fax(308) 398-5404
Sole ProprietorNo
Enumeration DateJanuary 28, 2025
NPPES CertifiedJanuary 28, 2025
✔ NPI 1679386486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in NE · P-2248
2112 W FAIDLEY AVE, Grand Island, NE 68803
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Other Providers at the Same Location NPPES 6

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

SUZIE KURPGEWEIT
Counselor (Addiction (Substance Use Disorder))
2112 W FAIDLEY AVE
GRAND ISLAND, NE 68803
Hall County (308) 398-5330
JULIO MANUEL RAMIREZ
Counselor
2112 W FAIDLEY AVE
GRAND ISLAND, NE 68803
Hall County (308) 398-5427
MRS. MICHELLE BOLTZ PLADC
Counselor (Addiction (Substance Use Disorder))
2112 W FAIDLEY AVE
GRAND ISLAND, NE 68803
Hall County (308) 398-5895
GEORGE EVERT REIMAN III
Counselor (Mental Health)
2112 W FAIDLEY AVE
GRAND ISLAND, NE 68803
Hall County (308) 398-5427
BRANDY LYNN MCINTOSH
Counselor (Addiction (Substance Use Disorder))
2112 W FAIDLEY AVE
GRAND ISLAND, NE 68803
Hall County (308) 398-5427
KAREN S SULLIVAN MA, PLMHP, LADC
Counselor (Addiction (Substance Use Disorder))
2112 W FAIDLEY AVE
GRAND ISLAND, NE 68803
Hall County (083) 398-5328

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shane Mullen's NPI number?

The NPI number for Shane Mullen is 1679386486. It was assigned to this individual provider in the NPPES registry on January 28, 2025.

Where is Shane Mullen located?

Shane Mullen practices at 2112 W Faidley Ave, Grand Island, NE 68803. The listed phone number is (308) 398-5427.

What is Shane Mullen's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Shane Mullen was last updated on January 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.