Individual provider Active NPI

Molly Jo McDowell-Burns, PC, IMFT

  • Marriage & Family Therapist
  • Wadsworth, OH
National Provider Identifier
1750631073
Registry record updated Dec 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
F1600013 Issued in OH
Practice address
140 Wadsworth Rd
Wadsworth, OH 44281-9503
Phone
(801) 896-7509
Fax
(330) 334-2235
NPI assigned
Sep 13, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X C.1100605 OH
Marriage & Family Therapist 106H00000X M1200030 OH
Marriage & Family Therapist 106H00000X F1600013 OH Primary

Addresses

Primary practice location

140 Wadsworth Rd
Wadsworth, OH 44281-9503

Mailing address

140 Wadsworth Rd
Wadsworth, OH 44281-9503
Phone (801) 896-7509

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20240314003723 OH Practitioner - Marriage and Family Therapist 6103262977 Practice locations: Wadsworth, OH

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
C.1100605OHMDProfessional Counselor
F1600013OHMDMarriage & Family Therapist
M1200030OHMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Connection 9 LLC Marriage & Family Therapist PastSince Sep 12, 2016 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.

NPI Registry JSON

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

{
    "created_epoch": "1347494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480550400000",
    "number": "1750631073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 WADSWORTH RD",
            "city": "WADSWORTH",
            "state": "OH",
            "postal_code": "442819503",
            "telephone_number": "801-896-7509",
            "fax_number": "330-334-2235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 WADSWORTH RD",
            "city": "WADSWORTH",
            "state": "OH",
            "postal_code": "442819503",
            "telephone_number": "801-896-7509",
            "fax_number": "330-334-2235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDOWELL-BURNS",
        "first_name": "MOLLY",
        "middle_name": "JO",
        "name_prefix": "Mrs.",
        "credential": "PC, IMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-13",
        "last_updated": "2016-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C.1100605",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OH",
            "license": "M1200030",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OH",
            "license": "F1600013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wadsworth, OH

Sources for this page

Verify at the official NPI Registry.