Active NPI
Kelli J Molzhon
- Mental Health Counselor
- Pasco, WA
National Provider Identifier
1396046934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LH60194320
- Practice address
- 1020 S 7TH Ave
Pasco, WA 99301-5794 - Phone
- (509) 545-6506
- NPI assigned
- Nov 13, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | CG60145794 | WA | |
| Mental Health Counselor | 101YM0800X | LH60194320 | WA | Primary |
Addresses
Primary practice location
1020 S 7TH Ave
Pasco, WA 99301-5794
Mailing address
4324 N Jefferson St
Spokane, WA 99205-1209
Phone (509) 315-8682
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
| License | State | Type | Specialty |
|---|---|---|---|
| CG60145794 | WA | MD | Mental Health Counselor |
| LH60194320 | WA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spokane Treatment and Recovery Services | Past | Accepting new patients |
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/spokanerecovery/r4/
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.
-
- Addiction (Substance Use Disorder) Counselor
- Spokane, WA
- NPI 1104957323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539043200000",
"number": "1396046934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4324 N JEFFERSON ST",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992051209",
"telephone_number": "509-315-8682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1020 S 7TH AVE",
"city": "PASCO",
"state": "WA",
"postal_code": "993015794",
"telephone_number": "509-545-6506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOLZHON",
"first_name": "KELLI",
"middle_name": "J",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-11-13",
"last_updated": "2018-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "CG60145794",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "LH60194320",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pasco, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.