Individual provider Active NPI

Jessica Frances Molloy, MA, LCMHC

  • Mental Health Counselor
  • Manchester, NH
National Provider Identifier
1245560523
Registry record updated Jan 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
781 Issued in NH
Practice address
99 Hanover St
Manchester, NH 03101-2203
Phone
(603) 518-4000
Fax
(603) 668-6260
NPI assigned
Jan 8, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2010

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 781 NH Primary

Addresses

Primary practice location

99 Hanover St
Manchester, NH 03101-2203

Mailing address

99 Hanover St
PO Box 448
Manchester, NH 03101-2203
Phone (603) 518-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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
I20240917004096 NH Practitioner - Mental Health Counselor 2264973338 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Salem Psychological Associates, PAGroup PAC ID 6002718699, 5 clinicians

Practice addresses (Care Compare)

87 Stiles Rd
Suite 106
Salem, NH 03079-2899
Phone (603) 893-7700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
781NHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Salem Psychological Associates, PA CurrentSince Aug 21, 2024 Accepting new patients
Child and Family Services Past Accepting new patients

Locations

87 Stiles Rd
Ste 106
Salem, NH 03079
Phone (603) 893-7700

Organizations & group practices 2

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": "1262908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262908800000",
    "number": "1245560523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 HANOVER ST",
            "address_2": "PO BOX 448",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031012203",
            "telephone_number": "603-518-4000",
            "fax_number": "603-668-6260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 HANOVER ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031012203",
            "telephone_number": "603-518-4000",
            "fax_number": "603-668-6260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLLOY",
        "first_name": "JESSICA",
        "middle_name": "FRANCES",
        "name_prefix": "Mrs.",
        "credential": "MA, LCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-08",
        "last_updated": "2010-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NH",
            "license": "781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

Verify at the official NPI Registry.