Individual provider Active NPI

Mario Andre Molinaro, MA, LMHC

  • Mental Health Counselor
  • Oneonta, NY
National Provider Identifier
1932273117
Registry record updated Jun 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0001201 Issued in NY
Practice address
137 Shanty Town Rd
Oneonta, NY 13820-3347
Phone
(646) 734-6845
NPI assigned
Nov 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2020

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral Psychologist 103TB0200X 000120-01 NY
Clinical Child & Adolescent Psychologist 103TC2200X 837238981 NY
School Psychologist 103TS0200X 837237981 NY
Marriage & Family Therapist 106H00000X 000120-01 NY
Mental Health Counselor 101YM0800X 0001201 NY Primary

Addresses

Primary practice location

137 Shanty Town Rd
Oneonta, NY 13820-3347

Mailing address

137 Shanty Town Rd
Oneonta, NY 13820-3347
Phone (646) 734-6845

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
0001201NYMDMental Health Counselor
000120-01NYMDCognitive & Behavioral Psychologist
837238981NYMDClinical Child & Adolescent Psychologist
837237981NYMDSchool Psychologist
000120NYMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591660800000",
    "number": "1932273117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 SHANTY TOWN RD",
            "city": "ONEONTA",
            "state": "NY",
            "postal_code": "138203347",
            "telephone_number": "646-734-6845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 SHANTY TOWN RD",
            "city": "ONEONTA",
            "state": "NY",
            "postal_code": "138203347",
            "telephone_number": "646-734-6845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLINARO",
        "first_name": "MARIO",
        "middle_name": "ANDRE",
        "name_prefix": "Mr.",
        "credential": "MA, LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "NY",
            "license": "000120-01",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NY",
            "license": "837238981",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "NY",
            "license": "837237981",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NY",
            "license": "000120-01",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "0001201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oneonta, NY

Sources for this page

Verify at the official NPI Registry.