Individual provider Active NPI

Molly Gulati, MSW, LSW

  • Mental Health Counselor
  • Eatontown, NJ
National Provider Identifier
1720794738
Registry record updated Jan 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
44SL06881800 Issued in NJ
Practice address
615 Hope Rd Ste 3B
Eatontown, NJ 07724-1273
Phone
(917) 608-9351
NPI assigned
Jan 24, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2023

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 44SL06881800 NJ Primary

Addresses

Primary practice location

615 Hope Rd Ste 3B
Eatontown, NJ 07724-1273

Mailing address

615 Hope Rd Ste 3B
Eatontown, NJ 07724-1273

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@positivereseteatontown.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251126002120 NJ Practitioner - Clinical Social Worker 6507358413 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hamlett HealthGroup PAC ID 7911346689, 3 clinicians

Practice addresses (Care Compare)

14 Main St
Suite 200
Madison, NJ 07940-1818
Phone (973) 282-7096

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SL06881800NJMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Hamlett Health CurrentSince Nov 1, 2025 Accepting new patients

Locations

14 Main St
Ste 200
Madison, NJ 07940
Phone (973) 282-7096

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": "1674518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1720794738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 HOPE RD STE 3B",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077241273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 HOPE RD STE 3B",
            "city": "EATONTOWN",
            "state": "NJ",
            "postal_code": "077241273",
            "telephone_number": "917-608-9351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GULATI",
        "first_name": "MOLLY",
        "credential": "MSW, LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-24",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "44SL06881800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@positivereseteatontown.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "615 Hope Rd Ste 3B",
            "city": "Eatontown",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "077241273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Eatontown, NJ

Sources for this page

Verify at the official NPI Registry.