Active NPI
Molly Anne Thelosen, BA
- Counselor
- Boulder, CO
National Provider Identifier
1790944916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 1333 Iris Ave
Boulder, CO 80304-2226 - Phone
- (303) 668-3413
- NPI assigned
- Jun 3, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
1333 Iris Ave
Boulder, CO 80304-2226
Mailing address
2045 Joslyn PL
Boulder, CO 80304-1948
Phone (303) 668-3413
Other names 1
- Miss Molly Anne Ericson
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
- Bachelor of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212451200000",
"number": "1790944916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2045 JOSLYN PL",
"city": "BOULDER",
"state": "CO",
"postal_code": "803041948",
"telephone_number": "303-668-3413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1333 IRIS AVE",
"city": "BOULDER",
"state": "CO",
"postal_code": "803042226",
"telephone_number": "303-668-3413"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THELOSEN",
"first_name": "MOLLY",
"middle_name": "ANNE",
"name_prefix": "Mrs.",
"credential": "BA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-03",
"last_updated": "2008-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MOLLY",
"last_name": "ERICSON",
"middle_name": "ANNE",
"prefix": "MISS",
"credential": "BA",
"code": "1",
"type": "Former Name"
}
]
}
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- Carol Ann Thiele, P.T.
- Third Culture Somatics
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.