Active NPI
Leah Carter Molloy, LPC
- Mental Health Counselor
- Alpharetta, GA
National Provider Identifier
1265593529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 005450
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 001247 | GA | MD | Optometrist |
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.