Individual provider Active NPI

Molly Nicole Kinnisten

  • Mental Health Counselor
  • Wilmington, NC
National Provider Identifier
1669360673
Registry record updated Jun 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A21629 Issued in NC
Practice address
1437 Military Cutoff Rd Ste 210
Wilmington, NC 28403-3638
Phone
(910) 444-4771
Fax
(910) 447-4421
NPI assigned
Jun 26, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X A21629 NC Primary

Addresses

Primary practice location

1437 Military Cutoff Rd Ste 210
Wilmington, NC 28403-3638

Mailing address

5748 Park Ave Apt 203
Wilmington, NC 28403-4793
Phone (252) 216-7973

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
A21629NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Clarity Counseling Center CurrentSince Aug 17, 2025 Accepting new patients

Locations

1437 Military Cutoff Rd
Ste 210
Wilmington, NC 28403
Phone (910) 240-2489

Organizations & group practices 1

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": "1750896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750896000000",
    "number": "1669360673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5748 PARK AVE APT 203",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284034793",
            "telephone_number": "252-216-7973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1437 MILITARY CUTOFF RD STE 210",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284033638",
            "telephone_number": "910-444-4771",
            "fax_number": "910-447-4421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINNISTEN",
        "first_name": "MOLLY",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-26",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A21629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2025; 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.