Individual provider Active NPI

Molly Jean Weinberger

  • Mental Health Counselor
  • Mankato, MN
National Provider Identifier
1902196207
Registry record updated Apr 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
226 N Broad St
Mankato, MN 56001-3520
Phone
(507) 931-8040
NPI assigned
Apr 8, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2021

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 Primary

Addresses

Primary practice location

226 N Broad St
Mankato, MN 56001-3520

Mailing address

226 N Broad St
Mankato, MN 56001-3520
Phone (507) 931-8040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240122002703 MN Practitioner - Mental Health Counselor 9133571524 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1858MNMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Services of Southern Minnesota, Inc CurrentSince Jan 1, 2024 Accepting new patients
Krisma Counseling Inc. PastSince Oct 1, 2015 Accepting new patients

Locations

226 N Broad St
Mankato, MN 56001
Phone (507) 931-8040

1306 Marshall St
Saint Peter, MN 56082
Phone (507) 931-8040

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1302220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617753600000",
    "number": "1902196207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 N BROAD ST",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560013520",
            "telephone_number": "507-931-8040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 N BROAD ST",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560013520",
            "telephone_number": "507-931-8040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINBERGER",
        "first_name": "MOLLY",
        "middle_name": "JEAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-08",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mankato, MN

Sources for this page

Verify at the official NPI Registry.