MARK MOLYNEAUX M.A., L.P.C.C.
NPI 1962851303
Counselor - Professional in Andover, MN

Q: What is Mark Molyneaux's NPI number?

The NPI number for Mark Molyneaux is 1962851303. It was assigned to this individual provider in the NPPES registry on June 7, 2016.

Q: What is Mark Molyneaux's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Mark Molyneaux was last updated on August 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 June 07, 2016PECOS Enrolled

1875 STATION PKWY NW, ANDOVER, MN 55304(763) 482-9598(612) 235-6447 Get Directions Write a Review

NPPES record last updated: August 4, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 4, 2022, Jul 22, 2022 (2 updates tracked since 2022).

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About Mark Molyneaux M.a., L.p.c.c. NPPES

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

MARK MOLYNEAUX M.A., L.P.C.C. (NPI 1962851303) is an individual professional provider in Andover, Minnesota, licensed in Minnesota (CC01214) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962851303

Entity TypeIndividualMale

Primary Taxonomy101YP2500X

Provider Legal NameMARK MOLYNEAUXCredential: M.A., L.P.C.C.

Location Address1875 STATION PKWY NWAndover, MN 55304-3319

Mailing Address1875 Station Pkwy NwAndover, MN 55304-3319 · (763) 482-9598 · Fax (612) 235-6447

Phone(763) 482-9598

Fax(612) 235-6447

Sole ProprietorYes

Enumeration DateJune 7, 2016

Last NPPES UpdateAugust 4, 20222 updates tracked since enumeration

NPPES CertifiedAugust 4, 2022

✔ NPI 1962851303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in MN · CC01214

1875 STATION PKWY NW, Andover, MN 55304

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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mark Molyneaux M.a., L.p.c.c. 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 20

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

LAUREN KEATING LADC

Counselor (Mental Health)