Molly Rose Wilson, PH.D., LLPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

7195 Thornapple River Dr SE
Ada, MI 49301-8411

Phone

(616) 929-0248

NPI assigned

Jun 1, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Molly Rose Dinkins Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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 Sana Initiative, LLC

  • Professional Counselor
  • Ada, MI
  • NPI 1467946723
  NPD (past)
• Pathway, Inc.

  • Mental Health Counselor
  • Laramie, WY
  • NPI 1588765069
  NPD (past)

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

{
    "created_epoch": "1433116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595376000000",
    "number": "1194105510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7195 THORNAPPLE RIVER DR SE",
            "city": "ADA",
            "state": "MI",
            "postal_code": "493018411",
            "telephone_number": "616-929-0248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7195 THORNAPPLE RIVER DR SE",
            "city": "ADA",
            "state": "MI",
            "postal_code": "493018411",
            "telephone_number": "616-929-0248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "MOLLY",
        "middle_name": "ROSE",
        "credential": "PH.D., LLPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-01",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WY",
            "license": "PPC-822",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOLLY",
            "last_name": "DINKINS",
            "middle_name": "ROSE",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mark S Walstrom, L.P.C.
• Gary W Watson, MSW
• Whitney Miller LLC
• Caroline Elaine Wilbon, CERTIFIED NURSE ASSI
• Brooke Marie Wilkie
• Amanda I Worst, LMSW
• Kendra Marie Wright, BSN, RN, CRRN, CCM
• Mary E Yost, M.A. CCC-SLP
• Janelle Marie Youngdahl, PHD
• Zen Care Rehabilitation Services

• Professional Counselor in Ada, MI
• Providers in Ada, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2020; 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.