Individual provider Active NPI

Molly Ann Marr

  • Mental Health Counselor
  • Broomfield, CO
National Provider Identifier
1174701718
Registry record updated Jun 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6411 Issued in CO
Practice address
13654 Xavier LN Ste 100
Broomfield, CO 80023-3607
Phone
(303) 885-3878
NPI assigned
Feb 6, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 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 6411 CO Primary

Addresses

Primary practice location

13654 Xavier LN Ste 100
Broomfield, CO 80023-3607

Mailing address

13654 Xavier LN Ste 100
Broomfield, CO 80023-3607
Phone (303) 885-3878

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

State licenses

LicenseStateTypeSpecialty
6411COMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Molly Marr Mental Health CurrentSince Jul 3, 2022 Accepting new patients

Locations

80 Garden Ctr
Ste 137
Broomfield, CO 80020
Phone (720) 557-6978

13654 Xavier Ln
Ste 100
Broomfield, CO 80023
Phone (303) 885-3878

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": "1202256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656547200000",
    "number": "1174701718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13654 XAVIER LN STE 100",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800233607",
            "telephone_number": "303-885-3878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13654 XAVIER LN STE 100",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800233607",
            "telephone_number": "303-885-3878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARR",
        "first_name": "MOLLY",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-06",
        "last_updated": "2022-06-30",
        "certification_date": "2021-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "6411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broomfield, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; 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.