Individual provider Active NPI

Dorothy Ruth Molczyk, LMHP PLADC

  • Mental Health Counselor
  • Aurora, NE
National Provider Identifier
1942362546
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2187 Issued in NE
Practice address
1218 K St
Suite B
Aurora, NE 68818
Phone
(402) 694-3366
Fax
(402) 694-3766
NPI assigned
Dec 14, 2006
Last updated
Jan 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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 2187 NE Primary

Addresses

Primary practice location

1218 K St
Suite B
Aurora, NE 68818

Mailing address

1218 K Street
Suite B
Aurora, NE 68818
Phone (402) 694-3366

Other identifiers 8

IdentifierTypeStateIssuer
10025208300MedicaidNE
47052851513MedicaidNE
47080857027MedicaidNE
100252089MedicaidNE
47052851507MedicaidNE
246089OtherNEMIDLANDS CHOICE
84970OtherNEBLUE CROSS BLUE SHIELD
85287OtherNEBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20231215001884 NE Practitioner - Mental Health Counselor 1951750918 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wholeness Healing Center PC Mental Health CurrentSince Jan 1, 2024 Accepting new patients

Locations

2608 Old Fair Rd
Grand Island, NE 68803
Phone (308) 382-5297

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1942362546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1218 K STREET",
            "address_2": "SUITE B",
            "city": "AURORA",
            "state": "NE",
            "postal_code": "68818",
            "telephone_number": "402-694-3366",
            "fax_number": "402-694-3766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1218 K ST",
            "address_2": "SUITE B",
            "city": "AURORA",
            "state": "NE",
            "postal_code": "68818",
            "telephone_number": "402-694-3366",
            "fax_number": "402-694-3766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLCZYK",
        "first_name": "DOROTHY",
        "middle_name": "RUTH",
        "name_prefix": "Mrs.",
        "credential": "LMHP PLADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-14",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "2187",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025208300",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47052851513",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47080857027",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100252089",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47052851507",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE",
            "identifier": "246089",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "84970",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "85287",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, NE

Sources for this page

Verify at the official NPI Registry.