Individual provider Active NPI

Molly Leerie Kerns, LCMHC-A

  • Mental Health Counselor
  • Graham, NC
National Provider Identifier
1407534035
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A18930 Issued in NC
Practice address
200 N Main St BLDG 203C
Graham, NC 27253-2862
Phone
(336) 675-0794
Fax
(336) 292-9061
NPI assigned
Jul 5, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X A18930 NC Primary

Addresses

Primary practice location

200 N Main St BLDG 203C
Graham, NC 27253-2862

Mailing address

3200 Alex Faye Dr
Burlington, NC 27217-9015
Phone (336) 675-0794

Other practice location 1

1205 S Main St
Burlington, NC 27215-5762
Phone (336) 223-4966

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
A18930NCMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1688515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1407534035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 ALEX FAYE DR",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272179015",
            "telephone_number": "336-675-0794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N MAIN ST BLDG 203C",
            "city": "GRAHAM",
            "state": "NC",
            "postal_code": "272532862",
            "telephone_number": "336-675-0794",
            "fax_number": "336-292-9061"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1205 S Main St",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "NC",
            "postal_code": "272155762",
            "country_code": "US",
            "telephone_number": "336-223-4966",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KERNS",
        "first_name": "MOLLY",
        "middle_name": "LEERIE",
        "credential": "LCMHC-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-05",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A18930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Graham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; 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.