Molly Stackhouse

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LC15842 Issued in MD

Practice address

3614 11TH St
Chesapeake Beach, MD 20732-3130

Phone

(240) 523-3497

NPI assigned

Apr 26, 2021

Last updated

Nov 15, 2024By 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 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: waypointwellnesscenter.mollystackhouse@150898.advancedmd-direct.com

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.

• Southern Maryland Mental Health, LLC

  • Mental Health Counselor
  • Chesapeake Beach, MD
  • NPI 1548950538
  NPD Authorized official

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

{
    "created_epoch": "1619395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1679155030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3614 11TH ST",
            "city": "CHESAPEAKE BEACH",
            "state": "MD",
            "postal_code": "207323130",
            "telephone_number": "240-523-3497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3614 11TH ST",
            "city": "CHESAPEAKE BEACH",
            "state": "MD",
            "postal_code": "207323130",
            "telephone_number": "240-523-3497"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "166 Defense Hwy Ste 203",
            "address_purpose": "LOCATION",
            "city": "Annapolis",
            "state": "MD",
            "postal_code": "214018922",
            "country_code": "US",
            "telephone_number": "410-684-3806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STACKHOUSE",
        "first_name": "MOLLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-26",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC016613",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC15842",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MD",
            "license": "A0538",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "MD",
            "license": "36187",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzette Smriti Rozario, PHARMD
• Sand Dollar Consulting, LLC (Mark's Place Counseling)
• Charles Robert Sclater, MPT
• Christen D Sneed, LCPC
• Southern Maryland Mental Health, LLC
• Victoria Ann Steele, LICSW
• Courtney Sutton
• Haley Taylor, CLD
• Cheryl Thompson, MS, CCC-SLP
• Hiang My To, PHARM. D

• Mental Health Counselor in Chesapeake Beach, MD
• Providers in Chesapeake Beach, MD by specialty
• Mental Health Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; 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.