Individual provider Active NPI

Christine Michelle Molitor, LPC

  • Mental Health Counselor
  • Georgetown, TX
National Provider Identifier
1770143695
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
77547 Issued in TX
Practice address
164 Mountain Valley St
Georgetown, TX 78628-2199
Phone
(512) 508-8016
NPI assigned
Jun 13, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 77547 TX Primary
Mental Health Counselor 101YM0800X 10527-125 WI

Addresses

Primary practice location

164 Mountain Valley St
Georgetown, TX 78628-2199

Mailing address

164 Mountain Valley St
Georgetown, TX 78628-2199
Phone (512) 573-9714

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20241125004097 TX Practitioner - Mental Health Counselor 5799210910 Practice locations: Georgetown, TX

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

164 Mountain Valley St
Georgetown, TX 78628-2199

3613 Williams Dr
Suite 301
Georgetown, TX 78628-1369
Phone (512) 573-9714

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10527-125WIMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1560384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775433600000",
    "number": "1770143695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 MOUNTAIN VALLEY ST",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786282199",
            "telephone_number": "512-573-9714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 MOUNTAIN VALLEY ST",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786282199",
            "telephone_number": "512-508-8016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLITOR",
        "first_name": "CHRISTINE",
        "middle_name": "MICHELLE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-13",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "77547",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "10527-125",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, TX

Sources for this page

Verify at the official NPI Registry.