Kristen Molloy, LAC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

37AC00654500 Issued in NJ

Practice address

200 Atlantic Ave Ste R
Manasquan, NJ 08736-1352

Phone

(732) 292-4504

Fax

(732) 292-4505

NPI assigned

Jul 14, 2022

Last updated

Jul 14, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Perlman Counseling and Supervision Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Manasquan, NJ
  • NPI 1558852376
  Medicare reassignment NPD
• Molloy Counseling & Wellness LLC

  • Professional Counselor
  • Tinton Falls, NJ
  • NPI 1982496451
  NPD Authorized official

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

{
    "created_epoch": "1657756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657756800000",
    "number": "1750015608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 ATLANTIC AVE STE R",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087361352",
            "telephone_number": "732-292-4504",
            "fax_number": "732-292-4505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 ATLANTIC AVE STE R",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087361352",
            "telephone_number": "732-292-4504",
            "fax_number": "732-292-4505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLLOY",
        "first_name": "KRISTEN",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-14",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37AC00654500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle P. Marfori, O.D., LLC
• Cynthia Anne Migliorisi, P.A.-C
• John Joseph Mikotowicz, D.D.S., M.S.
• Jamie Milchanowski, D.C.
• Mindful Progressions LLC
• Monmouth Integrative Counseling Services, LLC
• Monmouth Ocean Dentistry
• Monmouth Psychological Consultants
• Michelle Nicole Montalvo, CNM
• Sharon I Monter, DPM

• Mental Health Counselor in Manasquan, NJ
• Providers in Manasquan, NJ by specialty
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.