Johnnie Mars Mollin, LIMFT

Primary specialty

CounselorTaxonomy code 101Y00000X

License

F.2300327 Issued in OH

Practice address

732 Lila Ave
Milford, OH 45150-1609

Phone

(513) 831-3000

Fax

(513) 831-6664

NPI assigned

Apr 28, 2023

Sex

Male

Sole proprietor

Yes

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.

• Fresh Start Behavioral Health Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Dayton, OH
  • NPI 1093350951

  OH

  Medicare reassignment Care Compare group NPD
• Fresh Start Behavioral Health Inc

  • Community/Behavioral Health Agency
  • Dayton, OH
  • NPI 1588263453
  NPD (past)

Specialty

Marriage and Family Therapist

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fresh Start Behavioral Health Inc 5 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 28, 2023.

{
    "created_epoch": "1682640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682640000000",
    "number": "1407544232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "934 HIDDEN RIDGE DR",
            "city": "MILFORD",
            "state": "OH",
            "postal_code": "451505586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "732 LILA AVE",
            "city": "MILFORD",
            "state": "OH",
            "postal_code": "451501609",
            "telephone_number": "513-831-3000",
            "fax_number": "513-831-6664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLLIN",
        "first_name": "JOHNNIE",
        "middle_name": "MARS",
        "credential": "LIMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-04-28",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "F.2300327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Helen Miyasato, LPN
• Abagail Frances Mofield, RN
• Madison Mohler, BCBA
• Shelia Moizuk, COTA/L
• John David Molesky, DO
• Carolyn Simpson Molzahn, D.D.S.
• Rebecca Louise Jane Monoskie
• Rochelle Simone Montes, DSP
• Kelly Nicole Moore
• Patrick Moore, RBT

• All providers in Milford, OH
• Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.