Molly Giannotta, MS, LMHC, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

IMH16002 Issued in FL

Practice address

4475 US 1 S Ste 603
St Augustine, FL 32086-7282

Phone

(904) 429-6619

NPI assigned

Sep 25, 2018

Last updated

Jun 7, 2020By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Daniel Memorial Inc

  • Community/Behavioral Health Agency
  • Jacksonville, FL
  • NPI 1316105091
  NPD (past)
• Daniel Memorial, Inc.

  • Community/Behavioral Health Agency
  • Jacksonville, FL
  • NPI 1346205861
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1537833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591488000000",
    "number": "1790260727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4475 US 1 S STE 603",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320867282",
            "telephone_number": "904-429-6619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4475 US 1 S STE 603",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320867282",
            "telephone_number": "904-429-6619"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2700 Westhall Ln",
            "address_purpose": "LOCATION",
            "city": "Maitland",
            "state": "FL",
            "postal_code": "327517203",
            "country_code": "US",
            "telephone_number": "800-840-2528",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIANNOTTA",
        "first_name": "MOLLY",
        "credential": "MS, LMHC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-25",
        "last_updated": "2020-06-07",
        "certification_date": "2020-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH16002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Get Well, LLC
• Kathlene Louise Getsoian, DPT, MHS, NCS
• Girish Vasant Ghade, M.D
• Linda G Giacobbe, LCSW
• Amber Lynn Giannotta, BA
• Tina Gibbs
• Gibson Medical PA
• Alfea Renise Gibson, FNP-BC
• Amy Gibson
• Gregory Alan Gibson, MD

• Mental Health Counselor in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2020; 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.