Nicole Sykes Mullen, LCMHC is a medicare enrolled "Counselor - Mental Health" provider in Vale, North Carolina. Her current practice location is
642 Highway 274, Vale, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(704) 276-2479.
Nicole Sykes Mullen is licensed to practice in North Carolina (license number 9183) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1790051217.
Healthcare Provider's Profile
| Full Name | Nicole Sykes Mullen |
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| Gender | Female |
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| Speciality | Counselor - Mental Health |
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| Location | 642 Highway 274, Vale, North Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1790051217
- Provider Enumeration Date: 03/29/2012
- Last Update Date: 11/26/2025
Medicare PECOS Information:
- PECOS PAC ID: 3870936800
- Enrollment ID: I20240207000921
Medical Identifiers
Medical identifiers for Nicole Sykes Mullen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1790051217 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | 9183 (North Carolina) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Nicole Sykes Mullen allows following entities to bill medicare on her behalf.
| Entity Name | Gaston Family Health Services Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1215932215 PECOS PAC ID: 5496733925 Enrollment ID: O20040712000470 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicole Sykes Mullen is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Nicole Sykes Mullen, LCMHC 200 E 2nd Ave, Gastonia, NC 28052-4358 Ph: (704) 874-1936 | Nicole Sykes Mullen, LCMHC 642 Highway 274, Vale, NC 28168-7435 Ph: (704) 276-2479 |
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