Molly Jo Counseling & Art Therapy Inc

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

180009952 Issued in IL

Legal business name

MOLLY JO COUNSELING & ART THERAPY INC

Practice address

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

Phone

(331) 465-1153

NPI assigned

Nov 25, 2017

Last updated

Dec 5, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Molly Ansari, LCPC, ATRNPI 1518330232

Title

President

Phone

(920) 698-1886

Specialties & licenses 4

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Molly Ansari, LCPC

  • Professional Counselor
  • Warrenville, IL
  • NPI 1518330232
  NPD Authorized official

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

{
    "created_epoch": "1511568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670198400000",
    "number": "1538673801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3486 WILD PRAIRIE LN",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601343963",
            "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"
        }
    ],
    "basic": {
        "organization_name": "MOLLY JO COUNSELING & ART THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-25",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A",
        "authorized_official_last_name": "ANSARI",
        "authorized_official_first_name": "MOLLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "920-698-1886",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LCPC, ATR"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "IL",
            "license": "180009952",
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "IL",
            "license": "180009952",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "IL",
            "license": "180009952",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberley Milton, LCSW
• Laura Minarich
• Julie Louise Minning, M.A, CCC-SLP
• David M Mochel, MD
• Nasiruddin Mohammed
• Abbie Jean Moore, COTA
• Grace Moran
• Linda J. Moran, OT
• Deloris Abrahams Morgan, REGISTERED PHYSICAL
• Jason P Morris, PSYD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Warrenville, IL
• Providers in Warrenville, IL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.