Individual provider Active NPI

Mollie Martin, LPCA

  • Mental Health Counselor
  • Bowling Green, KY
National Provider Identifier
1992516231
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
292088 Issued in KY
Practice address
719 Dishman Lane Ext Apt C
Bowling Green, KY 42104-4072
Phone
(270) 202-8669
NPI assigned
Jan 16, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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 292088 KY Primary

Addresses

Primary practice location

719 Dishman Lane Ext Apt C
Bowling Green, KY 42104-4072

Mailing address

719 Dishman Lane Ext
Bowling Green, KY 42104-4072
Phone (270) 202-8669

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

LicenseStateTypeSpecialty
292088KYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cardinal Behavioral Health PLLC CurrentSince Jan 19, 2025 Accepting new patients

Locations

719 Dishman Lane Ext
Apt C
Bowling Green, KY 42104
Phone (270) 202-8669

719 Dishman Lane Ext
Bowling Green, KY 42104

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1736985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1992516231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 DISHMAN LANE EXT",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421044072",
            "telephone_number": "270-202-8669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 DISHMAN LANE EXT APT C",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421044072",
            "telephone_number": "270-202-8669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "MOLLIE",
        "credential": "LPCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-16",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "292088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.