Molly L. Vanduser, LPCS, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

4963 Issued in NC

Practice address

817 W Front St
Lillington, NC 27546-9735

Phone

(910) 814-2197

Fax

(910) 814-2167

NPI assigned

Nov 23, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Mental Health Counselor

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Peace of Mind IncGroup PAC ID 4284992827, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Peace of Mind, Inc.

  • Professional Counselor
  • Lillington, NC
  • NPI 1417144106
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426550400000",
    "number": "1659354660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2088",
            "city": "LILLINGTON",
            "state": "NC",
            "postal_code": "275462088",
            "telephone_number": "910-814-2197",
            "fax_number": "910-814-2167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 W FRONT ST",
            "city": "LILLINGTON",
            "state": "NC",
            "postal_code": "275469735",
            "telephone_number": "910-814-2197",
            "fax_number": "910-814-2167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDUSER",
        "first_name": "MOLLY",
        "middle_name": "L.",
        "name_prefix": "Ms.",
        "credential": "LPCS, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-23",
        "last_updated": "2015-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "4963",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "4963",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "142AY",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "8849860",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6102739",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Tysz, MD
• Universal Health Care Lillington, Inc.
• Nicole Upchurch
• Madison Nichole Valentin, OTR/L
• Valerie a. Colborn, O.D., P.a.
• Scottie Jeffery Vanhook, MSW
• Patricia Ann Vanhuylenbrouck, COTA
• Jacques Maurice Villien, DO
• Madhuri V Vithala, MD
• Elizabeth Voegtlin

• Mental Health Counselor in Lillington, NC
• Providers in Lillington, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2015; 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.