Organization Active NPI

Holistic Healing Counseling, LLC

  • Mental Health Counselor
  • Carroll, IA
National Provider Identifier
1083208367
Registry record updated Sep 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
HOLISTIC HEALING COUNSELING, LLC
Practice address
603 N West St
Carroll, IA 51401-2346
Phone
(712) 775-2501
Fax
(712) 775-2502
NPI assigned
Feb 26, 2021
Last updated
Sep 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2026

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

Authorized official

Name
Nim C. KnobbeNPI 1104176221
Title
Lisw
Phone
(712) 775-2501

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

603 N West St
Carroll, IA 51401-2346

Mailing address

603 N West St
Carroll, IA 51401-2346
Phone (712) 775-2501

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL update Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210721000410 IA Part B Supplier - Clinic/Group Practice 7315340981 Receives reassigned benefits from 1 practitioner
Practice locations: Audubon, IA; Carroll, IA

National Provider Directory

National Provider Directory

Locations

2050 Highway 71
Audubon, IA 50025
Phone (712) 775-2501

603 N West St
Carroll, IA 51401
Phone (712) 775-2501

712 N Crawford St
Carroll, IA 51401
Phone (712) 775-2501

Interoperability endpoints

  • Direct secure messaging: jhorseman@midwestmedbilling.com

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1614297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790726400000",
    "number": "1083208367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 N WEST ST",
            "city": "CARROLL",
            "state": "IA",
            "postal_code": "514012346",
            "telephone_number": "712-775-2501",
            "fax_number": "712-775-2502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 N WEST ST",
            "city": "CARROLL",
            "state": "IA",
            "postal_code": "514012346",
            "telephone_number": "712-775-2501",
            "fax_number": "712-775-2502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC HEALING COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-26",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A",
        "authorized_official_last_name": "KNOBBE",
        "authorized_official_first_name": "NIM",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "LISW",
        "authorized_official_telephone_number": "712-775-2501"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "update",
            "affiliation": "N",
            "endpointDescription": "update 2026",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "update 2026",
            "address_1": "603 N West St",
            "city": "Carroll",
            "state": "IA",
            "country_code": "US",
            "postal_code": "514012346",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Carroll, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.