Individual provider Active NPI

Molly Terese McIntosh, MS, LPC-MH,LAC

  • Mental Health Counselor
  • Sioux Falls, SD
National Provider Identifier
1790026243
Registry record updated Nov 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC-MH2235 Issued in SD
Practice address
2500 W 49TH St
Ste 225
Sioux Falls, SD 57105-6508
Phone
(605) 999-6162
Fax
(605) 942-7300
NPI assigned
Mar 8, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 11091485 SD
Mental Health Counselor 101YM0800X LPC-MH2235 SD Primary

Addresses

Primary practice location

2500 W 49TH St
Ste 225
Sioux Falls, SD 57105-6508

Mailing address

2500 W 49TH St
Ste 225
Sioux Falls, SD 57105-6508
Phone (605) 999-6162

Other identifiers 1

IdentifierTypeStateIssuer
1790026243MedicaidSD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
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
I20240314003917 SD Practitioner - Mental Health Counselor 5890131668 Practice locations: Sioux Falls, SD

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7405 S Bitterroot PL
Suite 120
Sioux Falls, SD 57108-1603
Phone (605) 999-6162

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
11091485SDMDAddiction (Substance Use Disorder) Counselor
LPC-MH2235SDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Peace of Mind Counseling LLC Mental Health CurrentSince Nov 8, 2020 Accepting new patients

Locations

115 E Havens Ave
Ste 106
Mitchell, SD 57301
Phone (605) 301-8720

2500 W 49th St
Ste 225
Sioux Falls, SD 57105

7405 S Bitterroot Pl
Ste 120
Sioux Falls, SD 57108

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": "1362700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604534400000",
    "number": "1790026243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 W 49TH ST",
            "address_2": "STE 225",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571056508",
            "telephone_number": "605-999-6162",
            "fax_number": "605-942-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 W 49TH ST",
            "address_2": "STE 225",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571056508",
            "telephone_number": "605-999-6162",
            "fax_number": "605-942-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINTOSH",
        "first_name": "MOLLY",
        "middle_name": "TERESE",
        "name_prefix": "Ms.",
        "credential": "MS, LPC-MH,LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-08",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "SD",
            "license": "11091485",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SD",
            "license": "LPC-MH2235",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790026243",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

Verify at the official NPI Registry.