Individual provider Active NPI

Manuel Molina

  • Professional Counselor
  • Aurora, CO
National Provider Identifier
1023462769
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
71023 Issued in TX
Practice address
2675 S Abilene St Ste 100
Aurora, CO 80014-2363
Phone
(720) 507-4779
Fax
(833) 941-5047
NPI assigned
Apr 19, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 71023 TX Primary

Addresses

Primary practice location

2675 S Abilene St Ste 100
Aurora, CO 80014-2363

Mailing address

24891 Highway 6
Hempstead, TX 77445-7747
Phone (800) 869-8552

Other practice location 1

24891 Highway 6
Hempstead, TX 77445-7747
Phone (800) 869-8552

Other practice location 2

14221 E 4th Ave Ste 2-126
Aurora, CO 80011-8735
Phone (720) 507-4779

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240610003859 CO Practitioner - Mental Health Counselor 6608318225 Reassigns benefits to 2 organizations
I20250224000539 TX Practitioner - Mental Health Counselor 6608318225 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mile High Psychiatry LLCGroup PAC ID 9032459656, 33 clinicians

Practice addresses (Care Compare)

14221 E 4TH Ave
Suite 2 126
Aurora, CO 80011-8735
Phone (720) 507-4779

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
71023TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Professional CurrentSince Jan 17, 2025 Accepting new patients
Mile High Psychiatry LLC CurrentSince Apr 28, 2024 Accepting new patients
Mile High Psychiatry, LLC Professional CurrentSince Apr 28, 2024 Accepting new patients
Mile High Psychiatry LLC Past Accepting new patients
Samantha J Vigneri Past Accepting new patients
Samantha J Vigneri Professional Past Accepting new patients

Locations

2675 S Abilene St
Ste 100
Aurora, CO 80014

14221 E 4th Ave
Ste 2126
Aurora, CO 80011
Phone (720) 262-7502

15355 E Colfax Ave
Unit 111717
Aurora, CO 80042

5445 Dtc Pkwy
Ph 4
Greenwood Village, CO 80111
Phone (720) 571-4874

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391

Interoperability endpoints

  • Direct secure messaging: manuel.molina.1@27879.direct.athenahealth.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1461024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1023462769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24891 HIGHWAY 6",
            "city": "HEMPSTEAD",
            "state": "TX",
            "postal_code": "774457747",
            "telephone_number": "800-869-8552",
            "fax_number": "713-869-8564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2675 S ABILENE ST STE 100",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800142363",
            "telephone_number": "720-507-4779",
            "fax_number": "833-941-5047"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24891 Highway 6",
            "address_purpose": "LOCATION",
            "city": "Hempstead",
            "state": "TX",
            "postal_code": "774457747",
            "country_code": "US",
            "telephone_number": "800-869-8552",
            "fax_number": "713-869-8564",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14221 E 4th Ave Ste 2-126",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800118735",
            "country_code": "US",
            "telephone_number": "720-507-4779",
            "fax_number": "833-941-5047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOLINA",
        "first_name": "MANUEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-19",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "71023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.