Active NPI
Molly Carpenter, MA
- Professional Counselor
- Canon City, CO
National Provider Identifier
1952429698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0011200
- Practice address
- Highway 50 East & Evans Blvd
Canon City, CO 81215 - Phone
- (719) 269-5024
- NPI assigned
- Mar 27, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0011200 | CO | Primary |
Addresses
Primary practice location
Highway 50 East & Evans Blvd
Canon City, CO 81215
Mailing address
6175 Eagles Nest Dr
Colorado Springs, CO 80918-1506
Phone (720) 217-8869
Other names 1
- Molly Martyn
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)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0011200 | CO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444262400000",
"number": "1952429698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6175 EAGLES NEST DR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809181506",
"telephone_number": "720-217-8869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HIGHWAY 50 EAST & EVANS BLVD",
"city": "CANON CITY",
"state": "CO",
"postal_code": "81215",
"telephone_number": "719-269-5024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARPENTER",
"first_name": "MOLLY",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-27",
"last_updated": "2015-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "0011200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MOLLY",
"last_name": "MARTYN",
"credential": "MA, LPC",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Canon City, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.