Molly Michelle Tiexiera

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

514 W Maple St Ste 106
Cumming, GA 30040-2420

Phone

(770) 740-5135

NPI assigned

Nov 30, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1669766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669766400000",
    "number": "1346950490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 W MAPLE ST STE 106",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300402420",
            "telephone_number": "770-740-5135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 W MAPLE ST STE 106",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300402420",
            "telephone_number": "770-740-5135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIEXIERA",
        "first_name": "MOLLY",
        "middle_name": "MICHELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-30",
        "last_updated": "2022-11-30",
        "certification_date": "2022-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "070532330",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "molly.tiexiera@ctcprograms.com",
            "affiliation": "N",
            "endpointDescription": "molly.tiexiera@ctcprograms.com",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "molly.tiexiera@ctcprograms.com",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Other",
            "address_1": "713 Park Creek Court",
            "city": "Gainesville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "30504",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "molly.tiexiera@ctcprograms.com",
            "affiliation": "N",
            "endpointDescription": "molly.tiexiera@ctcprograms.com",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "molly.tiexiera@ctcprograms.com",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "molly.tiexiera@ctcprograms.com",
            "address_1": "713 Park Creek Court",
            "city": "Gainesville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "30504",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "molly.tiexiera@ctcprograms.com",
            "affiliation": "N",
            "endpointDescription": "molly.tiexiera@ctcprograms.com",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "molly.tiexiera@ctcprograms.com",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Other",
            "address_1": "713 Park Creek Court",
            "city": "Gainesville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "30504",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "molly.tiexiera@ctcprograms.com",
            "affiliation": "N",
            "endpointDescription": "molly.tiexiera@ctcprograms.com",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "molly.tiexiera@ctcprograms.com",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "molly.tiexiera@ctcprograms.com",
            "address_1": "713 Park Creek Court",
            "city": "Gainesville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "30504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Mental Health Counselor in Cumming, GA
• Providers in Cumming, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2022; 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.