Jennifer Ann Hollowell, MA,LPC,CCS,CSAC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

MHL-059-035 Issued in NC

Practice address

65 Chestnut Hill Rd
Black Mountain, NC 28711-9600

Phone

(828) 686-0354

Fax

(828) 686-0359

NPI assigned

May 30, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033310826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 CHESTNUT HILL RD",
            "city": "BLACK MOUNTAIN",
            "state": "NC",
            "postal_code": "287119600",
            "telephone_number": "828-686-0354",
            "fax_number": "828-686-0359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 CHESTNUT HILL RD",
            "city": "BLACK MOUNTAIN",
            "state": "NC",
            "postal_code": "287119600",
            "telephone_number": "828-686-0354",
            "fax_number": "828-686-0359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLOWELL",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "MA,LPC,CCS,CSAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NC",
            "license": "MHL-059-035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Substance Abuse Rehabilitation Facility in Black Mountain, NC
• Providers in Black Mountain, NC by specialty
• Substance Abuse Rehabilitation Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.