Molly K Debrock, MA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

319 S E St
Santa Rosa, CA 95404-5175

Phone

(707) 284-3444

NPI assigned

Nov 13, 2020

Sex

Female

Sole proprietor

No

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

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.

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1605225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605225600000",
    "number": "1801498829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 S E ST",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954045175",
            "telephone_number": "707-284-3444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 S E ST",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954045175",
            "telephone_number": "707-284-3444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBROCK",
        "first_name": "MOLLY",
        "middle_name": "K",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-13",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcia Lynn Dean
• Matthew Scott Dean, B.A., B.S., A.A.
• Kaitlin Deasy, RN
• Lester I. Debbold, MD
• Wendell Paul Debele, L . AC
• Christina Debrunner
• Sydney Joye Decastilhos, FNP, BC
• Marlon Decastro, M.D.
• Veronica Decicco, PH.D.
• Emily Decker, RN, PHN

• Mental Health Counselor in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.