Individual provider Active NPI

Adrianna Enid Molina Roman

  • Mental Health Counselor
  • Forney, TX
National Provider Identifier
1144716630
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
90172
Practice address
1633 Havenrock Dr
Forney, TX 75126-6213
Phone
(787) 202-5535
NPI assigned
Jul 8, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 90172 Primary
Professional Counselor 101YP2500X

Addresses

Primary practice location

1633 Havenrock Dr
Forney, TX 75126-6213

Mailing address

1633 Havenrock Dr
Forney, TX 75126-6213
Phone (787) 202-5535

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lakes Regional Mental Health Mental Retardation Center Mental Health CurrentSince Aug 15, 2024 Accepting new patients

Locations

1300 W 16th St
Mt Pleasant, TX 75455
Phone (972) 524-4159

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": "1531008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1144716630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1633 HAVENROCK DR",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "751266213",
            "telephone_number": "787-202-5535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1633 HAVENROCK DR",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "751266213",
            "telephone_number": "787-202-5535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLINA ROMAN",
        "first_name": "ADRIANNA",
        "middle_name": "ENID",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-08",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": "90172",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forney, TX

Sources for this page

Verify at the official NPI Registry.