Individual provider Active NPI

Ernestine Christine Moll, PHD, LMHC

  • Mental Health Counselor
  • Lancaster, NY
National Provider Identifier
1831305705
Registry record updated Sep 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
18-002640 Issued in NY
Practice address
35 Central Ave # a
Lancaster, NY 14086-2143
Phone
(716) 839-2726
NPI assigned
May 15, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2007

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 18-002640 NY Primary

Addresses

Primary practice location

35 Central Ave # a
Lancaster, NY 14086-2143

Mailing address

75 Wendover Ave
Tonawanda, NY 14223-2717
Phone (716) 834-1318

Other names 1

  • Dr. E. Christine Moll Professional name

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
18-002640NYMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188777600000",
    "number": "1831305705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 WENDOVER AVE",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "142232717",
            "telephone_number": "716-834-1318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 CENTRAL AVE # A",
            "city": "LANCASTER",
            "state": "NY",
            "postal_code": "140862143",
            "telephone_number": "716-839-2726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLL",
        "first_name": "ERNESTINE",
        "middle_name": "CHRISTINE",
        "name_prefix": "Dr.",
        "credential": "PHD, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2007-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "18-002640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "E. CHRISTINE",
            "last_name": "MOLL",
            "prefix": "DR.",
            "credential": "PHD, LMHC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Lancaster, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2007; 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.