Holly Clause

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

449 Issued in NH

Practice address

35 Center St Unit 8
Wolfeboro Falls, NH 03896-7600

Phone

(603) 569-5818

NPI assigned

Apr 3, 2007

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bridgeway Counseling

  • Mental Health Counselor
  • Wolfeboro, NH
  • NPI 1720525413
  NPD (past)

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377648000000",
    "number": "1043331093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 271",
            "city": "WOLFEBORO",
            "state": "NH",
            "postal_code": "038940271",
            "telephone_number": "603-569-5818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 CENTER ST UNIT 8",
            "city": "WOLFEBORO FALLS",
            "state": "NH",
            "postal_code": "038967600",
            "telephone_number": "603-569-5818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAUSE",
        "first_name": "HOLLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2013-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NH",
            "license": "449",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3076115",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "14Y001491NH03",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Care Pharmacy
• Carroll County Endoscopy Center
• Amber Marie Davis, L.AC, DIPL.AC.
• Governor Wentworth Regional School District
• Susannah Lin Halpern, MA, CCC/SLP
• Healingnh
• Lori Schafer Kirwan, O.D.

• Mental Health Counselor in Wolfeboro Falls, NH
• Providers in Wolfeboro Falls, NH by specialty
• Mental Health Counselor in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.