Kristen Renee Molloy, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

7676 Issued in OK

Practice address

4202 SW Lee Blvd
Lawton, OK 73505-8300

Phone

(580) 730-0482

NPI assigned

Aug 31, 2020

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 names 1

• Miss Kristen Renee Mansel Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1598832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617580800000",
    "number": "1700490570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 N LINCOLN BLVD",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731055108",
            "telephone_number": "580-730-0482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4202 SW LEE BLVD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735058300",
            "telephone_number": "580-730-0482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLLOY",
        "first_name": "KRISTEN",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-31",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "7676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "MANSEL",
            "middle_name": "RENEE",
            "prefix": "MISS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Brinklee Delainey Mixon, SA-C, CST
• Olivia Nicole Moats, RDN
• Aisha Mohammed, MD
• Jenny Rae Mohon, NURSE PRACTITIONER
• Kevin Molinar
• Chrystal Jean Monigold, ARNP
• Monique Leong OD PLLC
• Anthony Shon Monoessy Sr.
• Cindy Monroe
• Morteza Montazeri, M.D.

• Professional Counselor in Lawton, OK
• Providers in Lawton, OK by specialty
• Professional Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2021; 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.