Mollie Bartholomew, LAC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LAC-21709 Issued in AZ

Practice address

201 E Birch Ave Ste 10C
Flagstaff, AZ 86001-5215

Phone

(928) 235-4509

NPI assigned

Sep 22, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• The Restoration Center

  • Marriage & Family Therapist
  • Flagstaff, AZ
  • NPI 1376266692
  NPD (past)

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

{
    "created_epoch": "1663804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677110400000",
    "number": "1356064612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E BIRCH AVE STE 10C",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860015215",
            "telephone_number": "928-235-4509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E BIRCH AVE STE 10C",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860015215",
            "telephone_number": "928-235-4509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTHOLOMEW",
        "first_name": "MOLLIE",
        "name_prefix": "Mrs.",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-22",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LAC-7501T",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LAC-21709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Barringer, DO
• Dawn Beata Barrowman, FNP
• Cindy Barry
• Jonathan Barsness, M.S.
• Alexandra Jolynn Bartell
• Lorraine Bartlett-Sung, RN
• Cara Jane Barton, LCSW
• Stephen Barut, DPT
• Basecamp Physical Therapy and Performance of Flagstaff LLC
• Jill Nicole Basham, SLP

• Mental Health Counselor in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Mental Health Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; 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.