Individual provider Active NPI

Molly Kestler Perry, LMHC

  • Mental Health Counselor
  • Bloomington, IN
National Provider Identifier
1780319772
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
88001744A Issued in IN
Practice address
550 S Adams St
Bloomington, IN 47403-2165
Phone
(812) 333-6324
Fax
(812) 331-6700
NPI assigned
Jul 22, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 88001744A IN Primary

Addresses

Primary practice location

550 S Adams St
Bloomington, IN 47403-2165

Mailing address

550 S Adams St
Bloomington, IN 47403-2165
Phone (812) 333-6324

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20251202002057 IN Practitioner - Mental Health Counselor 2769975408 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stone Belt Arc, Inc.Group PAC ID 8820900111, 7 clinicians

Practice addresses (Care Compare)

1531 13TH St
Suite 2520
Columbus, IN 47201-1312
Phone (812) 376-6501

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
88001744AINMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Stone Belt Arc, Inc. CurrentSince Oct 15, 2025 Accepting new patients

Locations

2815 E 10th St
Bloomington, IN 47408
Phone (812) 332-2168

550 S Adams St
Bloomington, IN 47403
Phone (812) 333-6324

1531 13th St
Ste 2520
Columbus, IN 47201
Phone (812) 376-6501

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": "1658448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1780319772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 S ADAMS ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474032165",
            "telephone_number": "812-333-6324",
            "fax_number": "812-331-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 S ADAMS ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474032165",
            "telephone_number": "812-333-6324",
            "fax_number": "812-331-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "MOLLY",
        "middle_name": "KESTLER",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-22",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "88001744A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IN

Sources for this page

Verify at the official NPI Registry.