MOLLY LOUISE NICHOLSON
NPI 1821852856
Counselor - Mental Health in Minneapolis, MN

Active since February 09, 2024
3507 LYNDALE AVE S, MINNEAPOLIS, MN 55408(612) 702-4119(612) 208-0774 Get Directions Write a Review

NPPES record last updated: April 29, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 29, 2024, Feb 9, 2024 (2 updates tracked since 2024).

About Molly Louise Nicholson NPPES

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

MOLLY LOUISE NICHOLSON (NPI 1821852856) is a healthcare organization registered as a mental health in Minneapolis, Minnesota and active in the NPI registry since February 2024. The organization lists Molly L Nicholson, Owner, as its authorized official.

NPPES Registry Identity

NPI1821852856
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameMOLLY LOUISE NICHOLSON
Location Address3507 LYNDALE AVE SMinneapolis, MN 55408-4159
Mailing Address3507 Lyndale Ave SMinneapolis, MN 55408-4159 · (612) 702-4119 · Fax (612) 208-0774
Fax(612) 208-0774
Organization SubpartNo
Authorized OfficialMolly L NicholsonOwner · (612) 702-4119
Enumeration DateFebruary 9, 2024
Last NPPES UpdateApril 29, 20242 updates tracked since enumeration
NPPES CertifiedApril 29, 2024
✔ NPI 1821852856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
3507 LYNDALE AVE S, Minneapolis, MN 55408

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Molly Louise Nicholson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Molly Louise Nicholson, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mental Health Counselor
NPI 1487920013
3507 LYNDALE AVE S
Minneapolis, MN 55408
(612) 702-4119
✔ PECOSSame address

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

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 Louise Nicholson's NPI number?

The NPI number for Molly Louise Nicholson is 1821852856. It was assigned to this organization in the NPPES registry on February 9, 2024.

Where is Molly Louise Nicholson located?

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

What is Molly Louise Nicholson's specialty?

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

Is Molly Louise Nicholson enrolled in Medicare?

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

How many clinicians bill Medicare through Molly Louise Nicholson?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Molly Louise Nicholson. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Molly Louise Nicholson accept?

Health plans from HealthPartners list Molly Louise 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 Louise Nicholson was last updated on April 29, 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.