Individual provider Active NPI

Molly Rae Rubel, MS LMFT

  • Marriage & Family Therapist
  • Pewaukee, WI
National Provider Identifier
1780197921
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1406-124 Issued in WI
Practice address
285 Forest Grove Dr Ste 207a
Pewaukee, WI 53072-3738
Phone
(262) 470-2382
NPI assigned
Nov 9, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 1406-124 WI Primary

Addresses

Primary practice location

285 Forest Grove Dr Ste 207a
Pewaukee, WI 53072-3738

Mailing address

285 Forest Grove Dr Ste 207a
Pewaukee, WI 53072-3738
Phone (262) 719-1075

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
1406-124WIMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Balance, LLC CurrentSince Nov 7, 2025 Accepting new patients

Locations

285 Forest Grove Dr
Ste 207A
Pewaukee, WI 53072
Phone (262) 470-2382

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": "1510185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761091200000",
    "number": "1780197921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 FOREST GROVE DR STE 207A",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530723738",
            "telephone_number": "262-719-1075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 FOREST GROVE DR STE 207A",
            "city": "PEWAUKEE",
            "state": "WI",
            "postal_code": "530723738",
            "telephone_number": "262-470-2382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBEL",
        "first_name": "MOLLY",
        "middle_name": "RAE",
        "credential": "MS LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-09",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "1406-124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pewaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2025; 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.