Molly Moravec Heise

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

304814 Issued in MN

Practice address

555 W Broadway Ave
Forest Lake, MN 55025-1175

Phone

(651) 777-5222

Fax

(651) 251-5279

NPI assigned

Jun 9, 2017

Last updated

Jun 9, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1496966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496966400000",
    "number": "1023547379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14365 GENEVA AVE N",
            "city": "HUGO",
            "state": "MN",
            "postal_code": "550388331",
            "telephone_number": "651-246-9190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 W BROADWAY AVE",
            "city": "FOREST LAKE",
            "state": "MN",
            "postal_code": "550251175",
            "telephone_number": "651-777-5222",
            "fax_number": "651-251-5279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEISE",
        "first_name": "MOLLY",
        "middle_name": "MORAVEC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-09",
        "last_updated": "2017-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "304814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ikran Jamal Hassan
• Health Care Psychology, PA
• Margaret Heaton, RN
• Andrew LF Hegstad, DDS
• Lioba V. Heineman, MS SLP
• Allison Henderson, LADC
• Curtis R Hennen, PT
• Breanna Dee Herbst, M.S., L.P.C.C.
• Doris Herr, PSY.D., LP
• Nancy Lynn Hertz, LMFT

• Addiction (Substance Use Disorder) Counselor in Forest Lake, MN
• Providers in Forest Lake, MN by specialty
• Addiction (Substance Use Disorder) Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.