Individual provider Active NPI

Peggy Joan Molter, MA LPC

  • Counselor
  • Adrian, MI
National Provider Identifier
1275167009
Registry record updated Mar 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
640101157 Issued in MI
Practice address
1325 N Main St Ste B
Adrian, MI 49221-1721
Phone
(517) 438-8144
Fax
(517) 438-8195
NPI assigned
Mar 2, 2020
Last updated
Mar 2, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 640101157 MI Primary

Addresses

Primary practice location

1325 N Main St Ste B
Adrian, MI 49221-1721

Mailing address

1325 N Main St Ste B
Adrian, MI 49221-1721
Phone (517) 438-8144

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
Master of Arts

State licenses

LicenseStateTypeSpecialty
640101157MIMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Life IV Therapy PLLC CurrentSince Oct 6, 2024 Accepting new patients
McCullough Vargas and Associates Inc Past Accepting new patients

Locations

1325 N Main St
Ste B
Adrian, MI 49221
Phone (517) 264-1699

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1583107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583107200000",
    "number": "1275167009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 N MAIN ST STE B",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492211721",
            "telephone_number": "517-438-8144",
            "fax_number": "517-438-8195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 N MAIN ST STE B",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492211721",
            "telephone_number": "517-438-8144",
            "fax_number": "517-438-8195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLTER",
        "first_name": "PEGGY",
        "middle_name": "JOAN",
        "credential": "MA LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-02",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "640101157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Adrian, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.