Individual provider Active NPI

Isabel Teresa Molina-Avella, PH.D. SOCIAL WORK

  • Counselor
  • Salt Lake City, UT
National Provider Identifier
1669789632
Registry record updated Sep 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
1578 W 1700 S
Suite 200
Salt Lake City, UT 84104-3470
Phone
(801) 972-2711
Fax
(801) 972-2709
NPI assigned
Sep 10, 2010
Last updated
Sep 10, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

1578 W 1700 S
Suite 200
Salt Lake City, UT 84104-3470

Mailing address

1578 W 1700 S
Suite 200
Salt Lake City, UT 84104-3470
Phone (801) 972-2711

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
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Child and Family Empowerment Services, LLC Past Accepting new patients
Child & Family Empowerment Services, LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: isabel.molina-avella.1@19645.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1284076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284076800000",
    "number": "1669789632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1578 W 1700 S",
            "address_2": "SUITE 200",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841043470",
            "telephone_number": "801-972-2711",
            "fax_number": "801-972-2709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1578 W 1700 S",
            "address_2": "SUITE 200",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841043470",
            "telephone_number": "801-972-2711",
            "fax_number": "801-972-2709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLINA-AVELLA",
        "first_name": "ISABEL",
        "middle_name": "TERESA",
        "credential": "PH.D. SOCIAL WORK",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-10",
        "last_updated": "2010-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2010; 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.