Individual provider Active NPI

Maritza Molina, MA, LPC

  • Professional Counselor
  • Conroe, TX
National Provider Identifier
1427743145
Registry record updated Nov 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
88415 Issued in TX
Practice address
902 N San Jacinto St
Conroe, TX 77301-2522
Phone
(281) 224-2112
NPI assigned
Apr 7, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 88415 TX Primary
Counselor 101Y00000X 88415 TX

Addresses

Primary practice location

902 N San Jacinto St
Conroe, TX 77301-2522

Mailing address

19926 Cypresswood SQ
Spring, TX 77373-3286
Phone (281) 224-2053

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20240613000087 TX Practitioner - Mental Health Counselor 9133661598 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
88415TXMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Serenity Ranch Wellness, PLLC Professional CurrentSince May 7, 2024 Accepting new patients
Shine Medical Providers PC Past Accepting new patients

Locations

902 N San Jacinto St
Conroe, TX 77301
Phone (936) 333-2653

902 N San Jacinto St
Ofc
Conroe, TX 77301
Phone (936) 529-0374

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1680825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763251200000",
    "number": "1427743145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19926 CYPRESSWOOD SQ",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773733286",
            "telephone_number": "281-224-2053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 N SAN JACINTO ST",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773012522",
            "telephone_number": "281-224-2112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLINA",
        "first_name": "MARITZA",
        "name_prefix": "Ms.",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-07",
        "last_updated": "2025-11-16",
        "certification_date": "2025-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "88415",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "88415",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

Verify at the official NPI Registry.