1. Home
  2. Directory
  3. Minnesota
  4. Minneapolis
  5. Counselor
  6. NPI Profile

MS. MOLLY LOUISE NICHOLSON LPC
NPI 1487920013
Counselor - Mental Health in Minneapolis, MN

Active since March 28, 2012PECOS Enrolled
3507 LYNDALE AVE S, MINNEAPOLIS, MN 55408(612) 702-4119 Get Directions Write a Review

NPPES record last updated: March 28, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Ms. Molly Louise Nicholson Lpc NPPES

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

MS. MOLLY LOUISE NICHOLSON LPC (NPI 1487920013) is an individual mental health provider in Minneapolis, Minnesota, licensed in Minnesota (00961) and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487920013
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. MOLLY LOUISE NICHOLSONCredential: LPC
Location Address3507 LYNDALE AVE SMinneapolis, MN 55408-4159
Mailing Address3507 Lyndale Ave SMinneapolis, MN 55408-4159 · (612) 702-4119
Phone(612) 702-4119
Sole ProprietorYes
Enumeration DateMarch 28, 2012
✔ NPI 1487920013 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 MN · 00961
3507 LYNDALE AVE S, Minneapolis, MN 55408
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Molly Louise Nicholson Lpc 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 Reassignment

Medicare enrollment records show Molly Nicholson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Molly Louise Nicholson
Same address
Mental Health
3507 LYNDALE AVE S
Minneapolis, MN 55408
  • Reassigned Medicare billing, Minnesota enrollment
NPI 1821852856 (612) 702-4119

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 12

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

CHERYL DORNFELD LPCC
Counselor (Professional)
3507 LYNDALE AVE S
MINNEAPOLIS, MN 55408
Hennepin County (612) 886-6112
CASSANDRA ANNE ROSE L.AC.
Acupuncturist
3507 LYNDALE AVE S
MINNEAPOLIS, MN 55408
Hennepin County (612) 564-8714
CATHERINE FINNEGAN
Counselor (Mental Health)
3507 LYNDALE AVE S
MINNEAPOLIS, MN 55408
Hennepin County (612) 802-0832
TELEMENTAL ASSOCIATES
Nurse Practitioner (Psychiatric/Mental Health)
3507 LYNDALE AVE S
MINNEAPOLIS, MN 55408
Hennepin County (612) 810-6414
JOHN MONTES-LARACUENTE L.AC.
Acupuncturist
3507 LYNDALE AVE S
MINNEAPOLIS, MN 55408
Hennepin County (612) 568-8889
DENISE M TROMBLAY
Psychologist (Clinical)
3507 LYNDALE AVE S
MINNEAPOLIS, MN 55408
Hennepin County (612) 849-0484
JANET LAURI URI-JONES MA, LP
Psychologist (Clinical)
3507 LYNDALE AVE S
MINNEAPOLIS, MN 55408
Hennepin County (612) 232-0305
MR. GERARD BALAN JR. APRN, CNP
Nurse Practitioner (Psychiatric/Mental Health)
3507 LYNDALE AVE S
MINNEAPOLIS, MN 55408
Hennepin County (612) 810-6414

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 Molly Nicholson's NPI number?

The NPI number for Molly Nicholson is 1487920013. It was assigned to this individual provider in the NPPES registry on March 28, 2012.

Where is Molly Nicholson located?

Molly Nicholson practices at 3507 Lyndale Ave S, Minneapolis, MN 55408. The listed phone number is (612) 702-4119.

What is Molly Nicholson's specialty?

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

Is Molly Nicholson enrolled in Medicare?

Yes. Molly Nicholson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Molly Nicholson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Molly Nicholson reassigns Medicare benefits to Molly Louise Nicholson (Minneapolis, MN). The 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 Molly Nicholson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Molly Nicholson accept?

Health plans from HealthPartners list Molly Nicholson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Molly Nicholson was last updated on March 28, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.