Individual provider Active NPI

Molly Brie Hayes, LPC

  • Professional Counselor
  • Durham, NC
National Provider Identifier
1770814345
Registry record updated Jan 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
7707 Issued in NC
Practice address
3708 Lyckan Pkwy
Suite 103
Durham, NC 27707-2586
Phone
(919) 403-8249
Fax
(919) 493-5725
NPI assigned
Jan 21, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 7707 NC Primary

Addresses

Primary practice location

3708 Lyckan Pkwy
Suite 103
Durham, NC 27707-2586

Mailing address

3708 Lyckan Pkwy
Suite 103
Durham, NC 27707-2586
Phone (919) 403-8249

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20240301000048 NC Practitioner - Mental Health Counselor 4385089242

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7707NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Exchange Clubs Child Abuse Prevention Center in Durham, Inc. Past 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": "1264032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264032000000",
    "number": "1770814345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3708 LYCKAN PKWY",
            "address_2": "SUITE 103",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277072586",
            "telephone_number": "919-403-8249",
            "fax_number": "919-493-5725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3708 LYCKAN PKWY",
            "address_2": "SUITE 103",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277072586",
            "telephone_number": "919-403-8249",
            "fax_number": "919-493-5725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYES",
        "first_name": "MOLLY",
        "middle_name": "BRIE",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-21",
        "last_updated": "2010-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "7707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.