MOLLY K DEBROCK MA
NPI 1801498829
Counselor - Mental Health in Santa Rosa, CA

Q: What is Molly Debrock's NPI number?

The NPI number for Molly Debrock is 1801498829. It was assigned to this individual provider in the NPPES registry on November 13, 2020.

Q: What is Molly Debrock's specialty?

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

Q: Is Molly Debrock enrolled in Medicare?

No. Molly Debrock has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Molly Debrock was last updated on November 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since November 13, 2020Opted out of Medicare · through Jan 1, 2028

319 S E ST, SANTA ROSA, CA 95404(707) 284-3444 Get Directions Write a Review

NPPES record last updated: November 13, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Molly K Debrock Ma NPPES

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

MOLLY K DEBROCK MA (NPI 1801498829) is an individual mental health provider in Santa Rosa, California and active in the NPI registry since November 2020. She has opted out of Medicare through January 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1801498829

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameMOLLY K DEBROCKCredential: MA

Location Address319 S E STSanta Rosa, CA 95404-5175

Mailing Address319 S E StSanta Rosa, CA 95404-5175 · (707) 284-3444

Phone(707) 284-3444

Sole ProprietorNo

Enumeration DateNovember 13, 2020

NPPES CertifiedNovember 13, 2020

✔ NPI 1801498829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

319 S E ST, Santa Rosa, CA 95404

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Molly K Debrock Ma 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 January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024

Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 5

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

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