Individual provider Active NPI

Michael Jason Molohon, LPC

  • Professional Counselor
  • Saint Peters, MO
National Provider Identifier
1205695970
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2026036798 Issued in MO
Practice address
4249 N Saint Peters Pkwy Ste B
Saint Peters, MO 63304-7442
Phone
(314) 708-6310
Fax
(636) 699-1417
NPI assigned
Mar 15, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2026036798 MO Primary

Addresses

Primary practice location

4249 N Saint Peters Pkwy Ste B
Saint Peters, MO 63304-7442

Mailing address

2107 Woodridge Dr
Saint Peters, MO 63376-7552
Phone (314) 708-6310

Other names 1

  • Mike Molohon Other name

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
Credentials
Bachelor of Arts, Master of Arts

State licenses

LicenseStateTypeSpecialty
2024007361MOMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1710460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1205695970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2107 WOODRIDGE DR",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633767552",
            "telephone_number": "314-708-6310",
            "fax_number": "636-699-1417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4249 N SAINT PETERS PKWY STE B",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633047442",
            "telephone_number": "314-708-6310",
            "fax_number": "636-699-1417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLOHON",
        "first_name": "MICHAEL",
        "middle_name": "JASON",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-03-15",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2026036798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIKE",
            "last_name": "MOLOHON",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Saint Peters, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; 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.