Active NPI
Mary Anne Molineux, M.A.
- Speech-Language Pathologist
- Helena, MT
National Provider Identifier
1306905682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 70
- Practice address
- 309 E 16TH Ave
Helena, MT 59601-3552 - Phone
- (406) 449-2736
- Fax
- (406) 449-2736
- NPI assigned
- Dec 6, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 70 | MT | Primary |
Addresses
Primary practice location
309 E 16TH Ave
Helena, MT 59601-3552
Mailing address
309 E 16TH Ave
Helena, MT 59601-3552
Phone (406) 449-2736
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6609-0 | Other | MT | BLUE CROSS & BLUE SHIELD |
| 538928 | Medicaid | MT |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 70 | MT | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1306905682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "309 E 16TH AVE",
"city": "HELENA",
"state": "MT",
"postal_code": "596013552",
"telephone_number": "406-449-2736",
"fax_number": "406-449-2736"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "309 E 16TH AVE",
"city": "HELENA",
"state": "MT",
"postal_code": "596013552",
"telephone_number": "406-449-2736",
"fax_number": "406-449-2736"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOLINEUX",
"first_name": "MARY ANNE",
"name_prefix": "Mrs.",
"credential": "M.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MT",
"license": "70",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS & BLUE SHIELD",
"identifier": "6609-0",
"state": "MT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "538928",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Helena, MT
- Jen Acacia Mittelstadt, MSW
- Owen William Moeggenberg, PHARMD
- Christine Mohl, FNP-C
- Jackie F Mohler
- Alexis Carol Molineux-Gibbons, MA, CCC-SLP
- Michael Christopher Mondloch, MD
- Summer Elizabeth Monforte, M.D.
- Jessica E Mongelli, DMD
- Montana Behavior Collaborative, PLLC
- Montana Children'S Home & Hospital
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.