MOLLY MARIE THEODORE
NPI 1154928422
Counselor - Mental Health in Corvallis, OR

Q: What is Molly Theodore's NPI number?

The NPI number for Molly Theodore is 1154928422. It was assigned to this individual provider in the NPPES registry on October 8, 2020. The provider is also known as Molly Marie Paeth.

Q: What is Molly Theodore's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Molly Theodore was last updated on April 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.

Active since October 08, 2020PECOS Enrolled

4185 SW RESEARCH WAY, CORVALLIS, OR 97333(541) 766-6767(541) 766-6186 Get Directions Write a Review

NPPES record last updated: April 29, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 29, 2026, Jul 1, 2025, May 1, 2023 and 2 more (5 updates tracked since 2020).

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About Molly Marie Theodore NPPES

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

MOLLY MARIE THEODORE (NPI 1154928422) is an individual mental health provider in Corvallis, Oregon and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154928422

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameMOLLY MARIE THEODORE

Location Address4185 SW RESEARCH WAYCorvallis, OR 97333-1783

Mailing AddressPo Box 579Corvallis, OR 97339-0579 · (541) 766-6185 · Fax (541) 766-6186

Phone(541) 766-6767

Fax(541) 766-6186

Sole ProprietorNo

Enumeration DateOctober 8, 2020

Last NPPES UpdateApril 29, 20265 updates tracked since enumeration

NPPES CertifiedApril 29, 2026

✔ NPI 1154928422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

Also ListedBehavior TechnicianTaxonomy 106S00000X

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

4185 SW RESEARCH WAY, Corvallis, OR 97333

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Other Names 1

Former Name (1)Molly Marie Paeth

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Molly Marie Theodore 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.

Other Providers at the Same Location NPPES 12

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

MELISSA ALVARADO

Counselor (Mental Health)