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MICHAEL JOHN MCMULLEN LAC
NPI 1962058826
Counselor - Addiction (Substance Use Disorder) in Fargo, ND

Active since August 15, 2019
4227 9TH AVE S, FARGO, ND 58103(701) 781-6021 Get Directions Write a Review

NPPES record last updated: August 15, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael John Mcmullen Lac NPPES

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

MICHAEL JOHN MCMULLEN LAC (NPI 1962058826) is an individual addiction (substance use disorder) provider in Fargo, North Dakota, licensed in North Dakota (1859) and active in the NPI registry since August 2019.

NPPES Registry Identity

NPI1962058826
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMICHAEL JOHN MCMULLENCredential: LAC
Location Address4227 9TH AVE SFargo, ND 58103-2018
Mailing Address4227 9th Ave SFargo, ND 58103-2018 · (701) 781-6021
Phone(701) 781-6021
Sole ProprietorNo
Enumeration DateAugust 15, 2019
✔ NPI 1962058826 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 ND · 1859
4227 9TH AVE S, Fargo, ND 58103
Open in Google Maps ↗

Other Identifiers 2

Other510183396ND · Sharehouse
Medicaid510183396ND

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Sanford Health Plan.Insurance ›

Other Providers at the Same Location NPPES 17

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

CONNIE LONGIE LAC
Counselor (Addiction (Substance Use Disorder))
4227 9TH AVE S
FARGO, ND 58103
Cass County (701) 282-6561
JOANN SPIERING LAC
Counselor (Addiction (Substance Use Disorder))
4227 9TH AVE S
FARGO, ND 58103
Cass County (701) 282-6561
SHAREHOUSE, INC.
Substance Abuse Rehabilitation Facility
4227 9TH AVE S
FARGO, ND 58103
Cass County (701) 282-6561
CONNIE STEVENS LAC
Counselor (Addiction (Substance Use Disorder))
4227 9TH AVE S
FARGO, ND 58103
Cass County (701) 282-6561
BRENDA R PHILLIPS LAC
Counselor (Addiction (Substance Use Disorder))
4227 9TH AVE S
FARGO, ND 58103
Cass County (701) 282-6564
CHRIS SHIARO LAC
Counselor (Addiction (Substance Use Disorder))
4227 9TH AVE S
FARGO, ND 58103
Cass County (701) 282-6561
JOSHUA J MAYNARD LAC
Counselor (Addiction (Substance Use Disorder))
4227 9TH AVE S
FARGO, ND 58103
Cass County (701) 282-6561
MS. MARVIS ANN DOSTER RN, CARN
Registered Nurse (Addiction (Substance Use Disorder))
4227 9TH AVE S
FARGO, ND 58103
Cass County (701) 282-6561

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 Michael Mcmullen's NPI number?

The NPI number for Michael Mcmullen is 1962058826. It was assigned to this individual provider in the NPPES registry on August 15, 2019.

Where is Michael Mcmullen located?

Michael Mcmullen practices at 4227 9th Ave S, Fargo, ND 58103. The listed phone number is (701) 781-6021.

What is Michael Mcmullen's specialty?

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

What insurance does Michael Mcmullen accept?

Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Michael Mcmullen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michael Mcmullen was last updated on August 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.