Molly Brown Doll, MS, LPC, NCC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

C3108 Issued in OR

Practice address

2928 SE Hawthorne Blvd Ste C
Portland, OR 97214-4147

Phone

(503) 504-6455

Fax

(844) 792-9639

NPI assigned

Mar 7, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Newgrange Counseling Services, LLC

  • Community/Behavioral Health Agency
  • Portland, OR
  • NPI 1558122325
  NPD Authorized official
• St Mary'S Home for Boys

  • Counseling Psychologist
  • Beaverton, OR
  • NPI 1619057098

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1204848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611792000000",
    "number": "1114197951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4306 SE ELLIS ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972065759",
            "telephone_number": "503-504-6455",
            "fax_number": "844-792-9639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2928 SE HAWTHORNE BLVD STE C",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972144147",
            "telephone_number": "503-504-6455",
            "fax_number": "844-792-9639"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16535 SW Tualatin Valley Hwy",
            "address_purpose": "LOCATION",
            "city": "Beaverton",
            "state": "OR",
            "postal_code": "970065143",
            "country_code": "US",
            "telephone_number": "503-259-3106",
            "fax_number": "503-649-7405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOLL",
        "first_name": "MOLLY",
        "middle_name": "BROWN",
        "credential": "MS, LPC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-07",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OR",
            "license": "C3108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500660733",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "210855",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Dole, D.M.D.
• Philbert Cosmas Doleac Jr., DDS
• Nicki Doler
• Leigh C Dolin, MD
• Michelle Dolinar
• Tracy Chantellle Doll, O.D.
• Melissa Dollar
• Justine Coel Dollarhide, LMT
• Alexander James Dolle
• Annie Dolle, LCSW

• Counselor in Portland, OR
• Providers in Portland, OR by specialty
• Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2021; 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.