Hollist Treatment for Adolescents and Families

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

272 Issued in NE

Legal business name

HOLLIST TREATMENT FOR ADOLESCENTS AND FAMILIES

Practice address

2111 W Mulberry St
Lincoln, NE 68522-1421

Phone

(402) 202-0577

Fax

(402) 438-5330

NPI assigned

Jun 26, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Cody Stonewall Hollist, PH.D, LIMHP, LIMFTNPI 1235341801

Title

President

Phone

(402) 202-0506

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cody Stonewall Hollist, PH.D.

  • Marriage & Family Therapist
  • Centerton, AR
  • NPI 1235341801
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1003078437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2111 W MULBERRY ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685221421",
            "telephone_number": "402-202-0577",
            "fax_number": "402-438-5330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 W MULBERRY ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685221421",
            "telephone_number": "402-202-0577",
            "fax_number": "402-438-5330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLIST TREATMENT FOR ADOLESCENTS AND FAMILIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-26",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "HOLLIST",
        "authorized_official_first_name": "CODY",
        "authorized_official_middle_name": "STONEWALL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-202-0506",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D, LIMHP, LIMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NE",
            "license": "272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Skylar Holliday
• Spencer Holliday
• Cami Janelle Hollins, MS, OTR/L
• Caprice Hollis
• Loene Annette Hollis, MS, LMHP
• Cynthia G Hollister, MSW LMHP
• Michelina Hollister, LIMHP
• Arianne Lynden Hollman, PA-C
• Brandi Holloway
• Kathryn Diane Holmberg, LCSW, LIMHP

• Community/Behavioral Health Agency in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Community/Behavioral Health Agency in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.