Active NPI
Stephanie Mollo, LMHC
- Mental Health Counselor
- Cambridge, MA
National Provider Identifier
1982047585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 9456
- Practice address
- 160 Alewife Brook Pkwy # 1104
Cambridge, MA 02138-1102 - Phone
- (617) 433-8595
- Fax
- (888) 761-8715
- NPI assigned
- Apr 12, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 9456 | MA | Primary |
Addresses
Primary practice location
160 Alewife Brook Pkwy # 1104
Cambridge, MA 02138-1102
Mailing address
160 Alewife Brook Pkwy # 1104
Cambridge, MA 02138-1102
Phone (617) 433-8595
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
| License | State | Type | Specialty |
|---|---|---|---|
| 9456 | MA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691539200000",
"number": "1982047585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 ALEWIFE BROOK PKWY # 1104",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021381102",
"telephone_number": "617-433-8595",
"fax_number": "888-761-8715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 ALEWIFE BROOK PKWY # 1104",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021381102",
"telephone_number": "617-433-8595",
"fax_number": "888-761-8715"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOLLO",
"first_name": "STEPHANIE",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-04-12",
"last_updated": "2023-08-09",
"certification_date": "2023-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "9456",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cambridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.