Individual provider Active NPI

Janine Flagg Holloway, LMFT, & LMHC

  • Marriage & Family Therapist
  • Wellesley, MA
National Provider Identifier
1083809743
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1465 Issued in MA
Practice address
609 Washington Street
Apt 302
Wellesley, MA 02482-6464
Phone
(469) 964-0448
Fax
(469) 886-1887
NPI assigned
Sep 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 1465 MA Primary
Mental Health Counselor 101YM0800X 9955 MA
Marriage & Family Therapist 106H00000X 202319 TX

Addresses

Primary practice location

609 Washington Street
Apt 302
Wellesley, MA 02482-6464

Mailing address

609 Washington Street
Apt 302
Wellesley, MA 02482-6464
Phone (469) 964-0448

Other practice location 1

2208 W Dutch Dr
Richardson, TX 75080-3481
Phone (469) 964-0448

Other identifiers 8

IdentifierTypeStateIssuer
LMFT-46740OtherCABOARD OF BEHAVIORAL SCIENCES
LMFT-M2202001OtherARBOARD OF EXAMINERS
LMFT-TPMF458OtherFLFLORIDA DEPARTMENT OF HEALTH DIVISION OF MEDICAL QUALITY ASSURANCE
LMHC-9955OtherMADIVISION OF PROFESSIONAL LICENSURE, BOARD OF ALLIED HEALTH
LMFT-2349OtherTNBOARD FOR LICENSED PROFESSIONAL COUNSELORS, LICENSED MARITAL AND FAMILY THERAPIS
LMFT-10724OtherNCNC MFT LICENSURE BOARD
LMFT-1465OtherMADIVISION OF PROFESSIONAL LICENSURE, BOARD OF ALLIED HEALTH
LMFT-202319OtherTXTEXAS BEHAVIORAL HEALTH EXECUTIVE COUNCIL

Other names 1

  • Janine Alane Flagg Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231218002992 TX Practitioner - Marriage and Family Therapist 7719336684 Practice locations: Richardson, TX
I20250725004053 MA Practitioner - Marriage and Family Therapist 7719336684 Practice locations: Wellesley, MA

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2208 W Dutch Dr
Richardson, TX 75080-3481
Phone (469) 964-0448

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
9955MAMDForensic Psychologist
202319TXMDMarriage & Family Therapist
1465MAMDPodiatrist

NPI Registry JSON

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1083809743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 WASHINGTON STREET",
            "address_2": "APT 302",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024826464",
            "telephone_number": "469-964-0448",
            "fax_number": "469-886-1887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 WASHINGTON STREET",
            "address_2": "APT 302",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024826464",
            "telephone_number": "469-964-0448",
            "fax_number": "469-886-1887"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2208 W Dutch Dr",
            "address_purpose": "LOCATION",
            "city": "Richardson",
            "state": "TX",
            "postal_code": "750803481",
            "country_code": "US",
            "telephone_number": "469-964-0448",
            "fax_number": "469-886-1887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLLOWAY",
        "first_name": "JANINE",
        "middle_name": "FLAGG",
        "credential": "LMFT, & LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-06",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MA",
            "license": "1465",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "9955",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "202319",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF BEHAVIORAL SCIENCES",
            "identifier": "LMFT-46740",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF EXAMINERS",
            "identifier": "LMFT-M2202001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA DEPARTMENT OF HEALTH DIVISION OF MEDICAL QUALITY ASSURANCE",
            "identifier": "LMFT-TPMF458",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DIVISION OF PROFESSIONAL LICENSURE, BOARD OF ALLIED HEALTH",
            "identifier": "LMHC-9955",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD FOR LICENSED PROFESSIONAL COUNSELORS, LICENSED MARITAL AND FAMILY THERAPIS",
            "identifier": "LMFT-2349",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC MFT LICENSURE BOARD",
            "identifier": "LMFT-10724",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DIVISION OF PROFESSIONAL LICENSURE, BOARD OF ALLIED HEALTH",
            "identifier": "LMFT-1465",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BEHAVIORAL HEALTH EXECUTIVE COUNCIL",
            "identifier": "LMFT-202319",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANINE",
            "last_name": "FLAGG",
            "middle_name": "ALANE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wellesley, MA

Sources for this page

Verify at the official NPI Registry.