Active NPI
Kristy Lee Mollitor, MA, LLP, CAADC
- Counseling Psychologist
- Kalamazoo, MI
National Provider Identifier
1679826572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 6301014719
- Practice address
- 2615 Stadium Dr
Kalamazoo, MI 49008-1654 - Phone
- (269) 720-8857
- NPI assigned
- Oct 17, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 6301014719 | MI | Primary |
Addresses
Primary practice location
2615 Stadium Dr
Kalamazoo, MI 49008-1654
Mailing address
2615 Stadium Dr
Kalamazoo, MI 49008-1654
Phone (269) 720-8857
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
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301014719 | MI | MD | Counseling Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Health Center Inc | Past | Accepting new patients |
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.
-
dba Family Health Center
- Federally Qualified Health Center (FQHC)
- Kalamazoo, MI
- NPI 1215768296
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536883200000",
"number": "1679826572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2615 STADIUM DR",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490081654",
"telephone_number": "269-720-8857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2615 STADIUM DR",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490081654",
"telephone_number": "269-720-8857"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOLLITOR",
"first_name": "KRISTY",
"middle_name": "LEE",
"name_prefix": "Ms.",
"credential": "MA, LLP, CAADC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-17",
"last_updated": "2018-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "MI",
"license": "6301014719",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kalamazoo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.