Active NPI
Jamalynn E Holloway, LPCC,
- Professional Counselor
- Oak Creek, CO
National Provider Identifier
1003549445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC.0020291
- Practice address
- 117 E Main St Ste C
Oak Creek, CO 80467-5086 - Phone
- (970) 599-1593
- NPI assigned
- Jul 4, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LAC.002521 | CO | |
| Professional Counselor | 101YP2500X | LPC.0020291 | CO | Primary |
Addresses
Primary practice location
117 E Main St Ste C
Oak Creek, CO 80467-5086
Mailing address
117 E Main St # 1014
Oak Creek, CO 80467-5086
Phone (970) 599-1593
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LAC.002521 | CO | MD | Addiction (Substance Use Disorder) Counselor |
| LPC.0020291 | CO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727913600000",
"number": "1003549445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 E MAIN ST # 1014",
"city": "OAK CREEK",
"state": "CO",
"postal_code": "804675086",
"telephone_number": "970-599-1593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 E MAIN ST STE C",
"city": "OAK CREEK",
"state": "CO",
"postal_code": "804675086",
"telephone_number": "970-599-1593"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLOWAY",
"first_name": "JAMALYNN",
"middle_name": "E",
"credential": "LPCC,",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-07-04",
"last_updated": "2024-10-03",
"certification_date": "2024-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CO",
"license": "LAC.002521",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "LPC.0020291",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oak Creek, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.