Molly K Geronazzo, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

3821 Issued in CO

Practice address

620 S Cascade Ave Ste C
Colorado Springs, CO 80903-4050

Phone

(719) 640-0793

Fax

(719) 471-2023

NPI assigned

Sep 16, 2006

Last updated

Mar 29, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Margot K Geronazzo Professional 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": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553817600000",
    "number": "1770689770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5470 SAMPLE WAY",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809192491",
            "telephone_number": "719-640-0793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 S CASCADE AVE STE C",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809034050",
            "telephone_number": "719-640-0793",
            "fax_number": "719-471-2023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERONAZZO",
        "first_name": "MOLLY",
        "middle_name": "K",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2019-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "3821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARGOT",
            "last_name": "GERONAZZO",
            "middle_name": "K",
            "credential": "LPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Shannon Beth Gerber, RN, MSN, NP-C
• Nicole Gerhauser
• Gail Ann Gerig
• Dawson Gerlach
• Rachel Irene Germiller, MD
• Brodie Gerrard-Gough, MD
• David L Gerstel, PT
• Mickaela Gervais
• Linda Gerwatowski
• Briana Gesick

• Professional Counselor in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Professional Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2019; 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.