Molly Kristen Colley, LPC-MHSP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC0000005447 Issued in TN

Practice address

2201 Nantucket Dr
Johnson City, TN 37604-3365

Phone

(423) 817-5566

NPI assigned

May 4, 2021

Sex

Female

Sole proprietor

Yes

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

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.

Opted out of Medicare

Yes, effective Jul 15, 2024 through Jul 15, 2028

Medicare enrollment (NPD)

Not enrolled

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.

• The Journey Center for Healing Arts, PLLC

  • Mental Health Counselor
  • Johnson City, TN
  • NPI 1013434828
  NPD (past)

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

{
    "created_epoch": "1620086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620086400000",
    "number": "1124601562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 NANTUCKET DR",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376043365",
            "telephone_number": "423-817-5566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 NANTUCKET DR",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376043365",
            "telephone_number": "423-817-5566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLEY",
        "first_name": "MOLLY",
        "middle_name": "KRISTEN",
        "name_prefix": "Mrs.",
        "credential": "LPC-MHSP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-04",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "LPC0000005447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith Leggett Cole, LCSW
• Cole'S Medical Services LLC (Cole's Medical Services)
• Cynthia M Coletti, MD
• Kawana (Kay) Collake, LCSW
• Collart Chiropractic LLC
• Christin Collie, PH.D.
• Mary Elizabeth Collier, PMHNP-BC
• April Starr Collins, LCSW
• Jacquelyn Kaleemarie Collins, MSW
• Regina Surnella Collins, BSW

• Mental Health Counselor in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Mental Health Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.