Molly Ansari, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180.009952 Issued in IL

Practice address

29W170 Butterfield Rd Ste 103
Warrenville, IL 60555-2807

Phone

(331) 465-1153

NPI assigned

Nov 3, 2015

Last updated

Oct 24, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Molly Dutter Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Molly Jo Counseling & Art Therapy Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Warrenville, IL
  • NPI 1538673801

  Professional

  NPD Authorized official

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

{
    "created_epoch": "1446508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1518330232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "854 SEMINARY CIR",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601376158",
            "telephone_number": "920-698-1886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29W170 BUTTERFIELD RD STE 103",
            "city": "WARRENVILLE",
            "state": "IL",
            "postal_code": "605552807",
            "telephone_number": "331-465-1153"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2100 Manchester Rd Ste 400G",
            "address_purpose": "LOCATION",
            "city": "Wheaton",
            "state": "IL",
            "postal_code": "601874593",
            "country_code": "US",
            "telephone_number": "920-698-1886",
            "fax_number": "920-698-1886",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5015 W Lawrence Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606303834",
            "country_code": "US",
            "telephone_number": "920-698-1886",
            "fax_number": "920-698-1886",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1111 E 87th St Ste 800",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606197038",
            "country_code": "US",
            "telephone_number": "773-374-3748 x2226",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANSARI",
        "first_name": "MOLLY",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-03",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "1800009952",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.009952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOLLY",
            "last_name": "DUTTER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Ask US Counseling Services, LLC
• At Home Care Physicians PLLC

• Professional Counselor in Warrenville, IL
• Providers in Warrenville, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; 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.