Individual provider Active NPI

Molly E Campbell Kroll, EDD, BCBA-D, LBA

  • Behavior Analyst
  • Thomasville, NC
National Provider Identifier
1083248405
Registry record updated Jul 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
1-19-39545 Issued in GA
Practice address
234 Cedar Lodge Rd
Thomasville, NC 27360-6143
Phone
(336) 474-2211
NPI assigned
Feb 25, 2020
Last updated
Jul 26, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1-19-39545 NC
Behavior Analyst 103K00000X 1-19-39545 GA Primary

Addresses

Primary practice location

234 Cedar Lodge Rd
Thomasville, NC 27360-6143

Mailing address

502 W Parkway Ave
High Point, NC 27262-3032
Phone (901) 264-7542

Other practice location 1

410 Brentwood St
High Point, NC 27260-5714
Phone (336) 810-1881

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eternal Hope Therapeutics LLC Behavior Analyst Past Accepting new patients
Eternal Hope Therapeutics LLC Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1582588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785024000000",
    "number": "1083248405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 W PARKWAY AVE",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272623032",
            "telephone_number": "901-264-7542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 CEDAR LODGE RD",
            "city": "THOMASVILLE",
            "state": "NC",
            "postal_code": "273606143",
            "telephone_number": "336-474-2211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "410 Brentwood St",
            "address_purpose": "LOCATION",
            "city": "High Point",
            "state": "NC",
            "postal_code": "272605714",
            "country_code": "US",
            "telephone_number": "336-810-1881",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL KROLL",
        "first_name": "MOLLY",
        "middle_name": "E",
        "credential": "EDD, BCBA-D, LBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-25",
        "last_updated": "2026-07-26",
        "certification_date": "2026-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NC",
            "license": "1-19-39545",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "GA",
            "license": "1-19-39545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thomasville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2026; 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.