Individual provider Active NPI

Holly Ann Burgess Rock, BS MFT INTERN

  • Marriage & Family Therapist
  • Moses Lake, WA
National Provider Identifier
1093611196
Registry record updated Oct 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
2666 Elgin Rd NE
Moses Lake, WA 98837-9763
Phone
(208) 964-9188
NPI assigned
Oct 15, 2026
Last updated
Oct 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X WA Primary

Addresses

Primary practice location

2666 Elgin Rd NE
Moses Lake, WA 98837-9763

Mailing address

2666 Elgin Rd NE
Moses Lake, WA 98837-9763
Phone (208) 964-9188

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1792022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792022400000",
    "number": "1093611196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2666 ELGIN RD NE",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988379763",
            "telephone_number": "208-964-9188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2666 ELGIN RD NE",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "988379763",
            "telephone_number": "208-964-9188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGESS ROCK",
        "first_name": "HOLLY",
        "middle_name": "ANN",
        "credential": "BS MFT INTERN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-10-15",
        "last_updated": "2026-10-15",
        "certification_date": "2026-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moses Lake, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.