Individual provider Active NPI

Michele Nancy Molho, LMSW

  • Mental Health Counselor
  • Great Neck, NY
National Provider Identifier
1124745591
Registry record updated Oct 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
117248 Issued in NY
Practice address
58 Tobin Ave
Great Neck, NY 11021-4427
Phone
(516) 510-7812
NPI assigned
Oct 25, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 117248 NY Primary

Addresses

Primary practice location

58 Tobin Ave
Great Neck, NY 11021-4427

Mailing address

58 Tobin Ave
Great Neck, NY 11021-4427
Phone (516) 510-7812

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL laptop Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260604004425 NY Practitioner - Clinical Social Worker 6002387560 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

58 Tobin Ave
Great Neck, NY 11021-4427

5928 Little Neck Pkwy
Little Neck, NY 11362-2532

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
117248NYMDMental Health Counselor

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1666656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666656000000",
    "number": "1124745591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 TOBIN AVE",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110214427",
            "telephone_number": "516-510-7812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 TOBIN AVE",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110214427",
            "telephone_number": "516-510-7812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLHO",
        "first_name": "MICHELE",
        "middle_name": "NANCY",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-25",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "117248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "laptop",
            "affiliation": "N",
            "endpointDescription": "psychotherapy",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "psychotherapy information",
            "address_1": "58 Tobin Ave",
            "city": "Great Neck",
            "state": "NY",
            "country_code": "US",
            "postal_code": "110214427",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

Verify at the official NPI Registry.