ASHLEY MOLLEMA
NPI 1093182917
Counselor - Mental Health in Jacksonville, FL

Active since August 26, 2015PECOS Enrolled
3027 SAN DIEGO RD, JACKSONVILLE, FL 32207(904) 493-7744 Get Directions Write a Review

NPPES record last updated: July 17, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 17, 2024, Sep 20, 2016 (2 updates tracked since 2016).

About Ashley Mollema NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ASHLEY MOLLEMA (NPI 1093182917) is an individual mental health provider in Jacksonville, Florida and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093182917
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameASHLEY MOLLEMA
Location Address3027 SAN DIEGO RDJacksonville, FL 32207-3691
Mailing Address3027 San Diego RdJacksonville, FL 32207-3691
Sole ProprietorYes
Enumeration DateAugust 26, 2015
Last NPPES UpdateJuly 17, 20242 updates tracked since enumeration
NPPES CertifiedJuly 17, 2024
✔ NPI 1093182917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
3027 SAN DIEGO RD, Jacksonville, FL 32207

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ashley Mollema is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Ashley Mollema reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Diagnostic Radiology
11335 PEMBROOKE SQ STE 101
Waldorf, MD 20603
  • Reassigned Medicare billing, Virginia and District of Columbia enrollments
  • Also billed through NPI 1952320061 (District of Columbia)
  • 2,379 clinicians in this Medicare group
Health Maintenance Organization
12255 FAIR OAKS PKWY
Fairfax, VA 22033
  • Reassigned Medicare billing, District of Columbia enrollment
  • 2,492 clinicians in this Medicare group
Clinical
8230 OLD COURTHOUSE RD STE 500
Vienna, VA 22182
  • Reassigned Medicare billing, District of Columbia enrollment
  • 21 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker
3027 SAN DIEGO RD
JACKSONVILLE, FL 32207
Social Worker (Clinical)
3027 SAN DIEGO RD
JACKSONVILLE, FL 32207
Counselor (Mental Health)
3027 SAN DIEGO RD
JACKSONVILLE, FL 32207
Counselor (Mental Health)
3027 SAN DIEGO RD
JACKSONVILLE, FL 32207
Case Manager/Care Coordinator
3027 SAN DIEGO RD
JACKSONVILLE, FL 32207
Social Worker
3027 SAN DIEGO RD
JACKSONVILLE, FL 32207
Case Manager/Care Coordinator
3027 SAN DIEGO RD
JACKSONVILLE, FL 32207
Social Worker (Clinical)
3027 SAN DIEGO RD
JACKSONVILLE, FL 32207

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ashley Mollema's NPI number?

The NPI number for Ashley Mollema is 1093182917. It was assigned to this individual provider in the NPPES registry on August 26, 2015.

Where is Ashley Mollema located?

Ashley Mollema practices at 3027 San Diego Rd, Jacksonville, FL 32207. The listed phone number is (904) 493-7744.

What is Ashley Mollema's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Ashley Mollema enrolled in Medicare?

Yes. Ashley Mollema is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Ashley Mollema's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ashley Mollema reassigns Medicare benefits to 3 organizations: Inova Health Care Services (Waldorf, MD), Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (Fairfax, VA) and Womens Center (Vienna, VA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ashley Mollema's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ashley Mollema was last updated on July 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.