MICHAEL W DE MOLINA (MS, LPC, CDCS, MAC) – Mental Health Counselor, NPI 1164472924

MICHAEL W DE MOLINA (MS, LPC, CDCS, MAC) is a healthcare provider. based in Anchorage, Alaska. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials MS, LPC, CDCS, MAC. They hold a License No. 420 (AK). The NPI Number for MICHAEL W DE MOLINA (MS, LPC, CDCS, MAC) is 1164472924

Main info

Male
Sole Proprietor
28 Years Of Experience
Name
MICHAEL W DE MOLINA (MS, LPC, CDCS, MAC)
NPI
1164472924
Phone
(907) 770-3656
Address
401 W INTERNATIONAL AIRPORT RD STE 17
Enumeration Date
11 May 2006
Last Update Date
17 October 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9077703656
Graduation Year
1998 (28 years ago)
PAC ID
5294067948
Group Practice PAC ID
2567794217
Professional Enrollment ID
I20240306002508
Address ID
AK995181168AN401XXRDXX502
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness75
Years active:20State licenses:1Digital endpointsOther names

230 MENTAL HEALTH COUNSELOR in AK

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Provider Addresses for MICHAEL W DE MOLINA (MS, LPC, CDCS, MAC)

  • West International Airport Road, Anchorage, Alaska, 99517, United States

    ANCHORAGE, AK 995181168

    Phone: (907) 770-3656

    Fax: (907) 562-4503

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-03-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240306002508IMental Health CounselorAKTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 99518)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2567794217View full group profile
NameSpecialtyState
Clinical Social WorkerAK
Physician AssistantAK
P S Y C H I A T R YAK

Reviews

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Frequently asked questions

How do payers reference MICHAEL W DE MOLINA (MS, LPC, CDCS, MAC)?
For MICHAEL W DE MOLINA (MS, LPC, CDCS, MAC), use NPI 1164472924 as the unique 10-digit identifier.
Active or inactive — what applies to MICHAEL W DE MOLINA (MS, LPC, CDCS, MAC)?
You should see MICHAEL W DE MOLINA (MS, LPC, CDCS, MAC) as active in CMS-hosted NPPES data.
What expertise is attributed to MICHAEL W DE MOLINA (MS, LPC, CDCS, MAC)?
MICHAEL W DE MOLINA (MS, LPC, CDCS, MAC)'s specialty line reads Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Is MICHAEL W DE MOLINA (MS, LPC, CDCS, MAC) located near Anchorage?
MICHAEL W DE MOLINA (MS, LPC, CDCS, MAC) currently maps to Anchorage, Alaska in this extract.
When was this NPI issued?
Enumeration for MICHAEL W DE MOLINA (MS, LPC, CDCS, MAC) is noted as May 11, 2006 where the registry provides it.

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