MRS. MOLLY GOTHERIDGE MA, LMHC
NPI 1104575943
Counselor - Mental Health in Orlando, FL

Active since March 21, 2022Opted out of Medicare · through Mar 17, 2027
1100 N FERN CREEK AVE, ORLANDO, FL 32803(407) 720-9045 Get Directions Write a Review

NPPES record last updated: April 23, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Molly Gotheridge Ma, Lmhc NPPES

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

MRS. MOLLY GOTHERIDGE MA, LMHC (NPI 1104575943) is an individual mental health provider in Orlando, Florida, licensed in Florida (MH23737) and active in the NPI registry since March 2022. She has opted out of Medicare through March 17, 2027.

NPPES Registry Identity

NPI1104575943
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. MOLLY GOTHERIDGECredential: MA, LMHC
Location Address1100 N FERN CREEK AVEOrlando, FL 32803-2628
Mailing Address1100 N Fern Creek AveOrlando, FL 32803-2628
Sole ProprietorYes
Enumeration DateMarch 21, 2022
Last NPPES UpdateApril 23, 2025
NPPES CertifiedApril 23, 2025
NPI 1104575943 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in FL · MH23737
1100 N FERN CREEK AVE, Orlando, FL 32803

Other Names 1

Former Name (1)Ms. Molly Dawkins

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Mrs. Molly Gotheridge Ma, Lmhc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 17, 2025 through March 17, 2027.

Opt-Out Effective DateMarch 17, 2025
Opt-Out In Effect ThroughMarch 17, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Counselor
1100 N FERN CREEK AVE
ORLANDO, FL 32803
Counselor (Mental Health)
1100 N FERN CREEK AVE
ORLANDO, FL 32803
Counselor (Mental Health)
1100 N FERN CREEK AVE
ORLANDO, FL 32803
Counselor (Mental Health)
1100 N FERN CREEK AVE
ORLANDO, FL 32803

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104575943, enumerated as an "individual" on March 21, 2022.

The provider is located at 1100 N FERN CREEK AVE ORLANDO, FL 32803 and the phone number is (407) 720-9045.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

The provider might be accepting Accepts: UnitedHealthcare. Please consult your insurance carrier or call the provider to verify.