Olivia Marie Hollis, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

7649 New Market Center Way
Columbus, OH 43235-1979

Phone

(614) 602-6473

Fax

(614) 987-8643

NPI assigned

Mar 22, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Olivia Marie Tennison Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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.

• The Learning Spectrum, LLC

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  • Columbus, OH
  • NPI 1588962914

  Speech-Language Pathologist

  NPD (past)
• Sumlar Therapy Service, Inc.

  • Physical Therapist
  • Ozark, AL
  • NPI 1265574990

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1553212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725580800000",
    "number": "1063972362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 VILLAGE SQ STE 210",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212101624",
            "telephone_number": "614-602-6473",
            "fax_number": "614-987-8643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7649 NEW MARKET CENTER WAY",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432351979",
            "telephone_number": "614-602-6473",
            "fax_number": "614-987-8643"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Safeguard Plz",
            "address_purpose": "LOCATION",
            "city": "Independence",
            "state": "OH",
            "postal_code": "441311876",
            "country_code": "US",
            "telephone_number": "216-264-7240",
            "fax_number": "614-987-8643",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLLIS",
        "first_name": "OLIVIA",
        "middle_name": "MARIE",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-22",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0377205",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OLIVIA",
            "last_name": "TENNISON",
            "middle_name": "MARIE",
            "credential": "MS, CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Angela Sue Hollins
• Shawntera Hollinshead
• Brandy Jean Hollis, BCBA
• Jocelyn Kavonne Hollis, BSW, LSW
• John B Hollis, M.S.W., L.I.S.W.
• Joshua Bailey Hollman
• Margaret Paige Hollobaugh
• Maria G Hollopeter
• Alice Holloway
• Brittany Ann Holloway, PA-C

• Speech-Language Pathologist in Columbus, OH
• Providers in Columbus, OH by specialty
• Speech-Language Pathologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.

Verify at the official NPI Registry.