Individual provider Active NPI

Molly Bailey, LMFT

  • Marriage & Family Therapist
  • Minneapolis, MN
National Provider Identifier
1285272302
Registry record updated Dec 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
3378 Issued in MN
Practice address
1025 Portland Ave
Minneapolis, MN 55404-1449
Phone
(612) 217-4002
NPI assigned
Dec 19, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 3378 MN Primary

Addresses

Primary practice location

1025 Portland Ave
Minneapolis, MN 55404-1449

Mailing address

822 S 3Rd St Ste 100
Minneapolis, MN 55415-1200

Other practice location 1

822 S 3rd St Ste 100
Minneapolis, MN 55415-1200
Phone (612) 217-4002

Other practice location 2

612 E Grant Street
Minneapolis, MN 55404
Phone (612) 217-4002

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
3378MNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Minnesota Trauma Recovery Institute CurrentSince Dec 22, 2019 Accepting new patients

Locations

822 S 3rd St
Ste 100
Minneapolis, MN 55415
Phone (612) 217-4002

1025 Portland Ave
Minneapolis, MN 55404
Phone (612) 217-4002

Organizations & group practices 1

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": "1576713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576713600000",
    "number": "1285272302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 S 3RD ST STE 100",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554151200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 PORTLAND AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554041449",
            "telephone_number": "612-217-4002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "822 S 3rd St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554151200",
            "country_code": "US",
            "telephone_number": "612-217-4002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "612 E Grant Street",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "55404",
            "country_code": "US",
            "telephone_number": "612-217-4002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAILEY",
        "first_name": "MOLLY",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-19",
        "last_updated": "2019-12-19",
        "certification_date": "2019-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "3378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2019; 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.