Individual provider Active NPI

Leah Carter Molloy, LPC

  • Mental Health Counselor
  • Alpharetta, GA
National Provider Identifier
1265593529
Registry record updated Oct 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
005450 Issued in GA
Practice address
11675 Century Dr Unit C
Alpharetta, GA 30009-8367
Phone
(678) 740-3990
NPI assigned
Dec 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 001247 GA
Mental Health Counselor 101YM0800X 005450 GA Primary

Addresses

Primary practice location

11675 Century Dr Unit C
Alpharetta, GA 30009-8367

Mailing address

2471 Natoma CT SE
Smyrna, GA 30080-9303
Phone (404) 518-9408

Other practice location 1

3480 East Main Street
College Park, GA 30337-2024
Phone (404) 762-9190

Other practice location 2

4300 Paces Ferry Rd SE Ste 357
Atlanta, GA 30339-5729
Phone (770) 726-9589

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
001247GAMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540166400000",
    "number": "1265593529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2471 NATOMA CT SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300809303",
            "telephone_number": "404-518-9408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11675 CENTURY DR UNIT C",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300098367",
            "telephone_number": "678-740-3990"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3480 East Main Street",
            "address_purpose": "LOCATION",
            "city": "College Park",
            "state": "GA",
            "postal_code": "303372024",
            "country_code": "US",
            "telephone_number": "404-762-9190",
            "fax_number": "404-762-9101",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4300 Paces Ferry Rd SE Ste 357",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303395729",
            "country_code": "US",
            "telephone_number": "770-726-9589",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOLLOY",
        "first_name": "LEAH",
        "middle_name": "CARTER",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2018-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "001247",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "005450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2018; 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.