Molly Gretchen Davis, LPC, MAC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

109623 Issued in AK

Practice address

198 W Marydale Ave
Soldotna, AK 99669-7501

Phone

(907) 741-1683

Fax

(907) 741-1683

NPI assigned

Jun 6, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

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": "1496707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496707200000",
    "number": "1023547882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "379 W KATMAI AVE",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996697315",
            "telephone_number": "907-741-1683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "198 W MARYDALE AVE",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996697501",
            "telephone_number": "907-741-1683",
            "fax_number": "907-741-1683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "MOLLY",
        "middle_name": "GRETCHEN",
        "credential": "LPC, MAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-06",
        "last_updated": "2017-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AK",
            "license": "109623",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AK",
            "license": "109623",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AK",
            "license": "109623",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AK",
            "license": "109623",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED PROFESSIONAL COUNSELOR",
            "identifier": "109623",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Catherine A Daro, OTR-L
• Lavern R Davidhizar, DO
• Brock Madsen Davis, DO
• Lynelle CC Davis
• Merab Anne Davis, LMT
• Amy Dawn-Day, LPC
• Amanda M Day-Bontly
• Kelly Anne De Sieyes, CDM, CPM
• Cecilia Scott Deatherage, M.S,,CCC-SLP
• Marcus C Deede, M.D.

• Professional Counselor in Soldotna, AK
• Providers in Soldotna, AK by specialty
• Professional Counselor in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.