Individual provider Active NPI

Mollie A. Royce, PCC

  • Professional Counselor
  • Cuyahoga Falls, OH
National Provider Identifier
1891783064
Registry record updated Jul 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E-0003455 Issued in OH
Practice address
2321 Second St
Suite 116
Cuyahoga Falls, OH 44221-2520
Phone
(330) 814-1001
Fax
(330) 865-5556
NPI assigned
Oct 11, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X E-0003455 OH Primary

Addresses

Primary practice location

2321 Second St
Suite 116
Cuyahoga Falls, OH 44221-2520

Mailing address

2321 Second St
Suite 116
Cuyahoga Falls, OH 44221-2520
Phone (330) 814-1001

Other identifiers 1

IdentifierTypeStateIssuer
694029OtherOHANTHEM BCBS

Other names 1

  • Mollie A. Ruthrauff Former 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

State licenses

LicenseStateTypeSpecialty
E-0003455OHMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467763200000",
    "number": "1891783064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2321 SECOND ST",
            "address_2": "SUITE 116",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442212520",
            "telephone_number": "330-814-1001",
            "fax_number": "330-865-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2321 SECOND ST",
            "address_2": "SUITE 116",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442212520",
            "telephone_number": "330-814-1001",
            "fax_number": "330-865-5556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROYCE",
        "first_name": "MOLLIE",
        "middle_name": "A.",
        "credential": "PCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-11",
        "last_updated": "2016-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E-0003455",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "694029",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MOLLIE",
            "last_name": "RUTHRAUFF",
            "middle_name": "A.",
            "credential": "PCC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cuyahoga Falls, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2016; 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.