Mary Lou Hollis, ED.D.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

4101005257 Issued in MI

Practice address

5464 Holiday Ter
Kalamazoo, MI 49009-2147

Phone

(269) 372-1940

Fax

(269) 349-5105

NPI assigned

Jul 3, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1120348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1013914274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5464 HOLIDAY TER",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490092147",
            "telephone_number": "269-372-1940",
            "fax_number": "269-349-5105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5464 HOLIDAY TER",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490092147",
            "telephone_number": "269-372-1940",
            "fax_number": "269-349-5105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLIS",
        "first_name": "MARY LOU",
        "name_prefix": "Dr.",
        "credential": "ED.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-03",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301002452",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MI",
            "license": "4101005257",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "OC945940",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUEOPTIONS",
            "identifier": "007039",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brooke Holliday
• Nichole Mari Holliday, MA, LPC, LMFT
• Mark Holling, DPT
• Jennifer Jones Hollings, M.D.
• Nicole Hollins, M.A., BCBA, LBA
• Hollister Audiology Services PLLC
• Kimberley Sue Hollister, AUD,CCC/A
• Rusel Paul Hollister, D.D.S, M.S.
• Lindsay Holloman
• J Saint Clair Holloway II

• Marriage & Family Therapist in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Marriage & Family Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.