Hollis Holly Kadesh, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

1236LCPC Issued in MT

Practice address

1652 NW Hughwood CT
Roseburg, OR 97471-8844

Phone

(541) 673-3985

Fax

(541) 673-8060

NPI assigned

Aug 31, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Holly Kadesh Other name

Medicare fee-for-service enrollment

Enrolled in OR

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 1

Specialty

Mental Health Counselor

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Valley View Mental Health Services, IncGroup PAC ID 5496747552, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Valley View Mental Health Services, Inc

  • Professional Counselor
  • Roseburg, OR
  • NPI 1437297140
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1124130158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S PARK CT",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974718121",
            "telephone_number": "406-671-4772",
            "fax_number": "541-673-8060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1652 NW HUGHWOOD CT",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974718844",
            "telephone_number": "541-673-3985",
            "fax_number": "541-673-8060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KADESH",
        "first_name": "HOLLIS",
        "middle_name": "HOLLY",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC36003",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MT",
            "license": "1236LCPC",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500856906",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0257193",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HOLLY",
            "last_name": "KADESH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Julee Richards MD PC
• Susan Ann Julian, M.S., CCC, SLP
• Misty Jungling
• Juniper Tree Counseling, LLC
• Gerilynn Jutson, RN
• Ravi Kumar Kalidindi, MD
• Dayna Kaney, REGISTERED NURSE
• Norbert Kanteyineza, RPH
• Taher M. Kashuba, LCSW
• Crystal Marie Kathol

• Counselor in Roseburg, OR
• Providers in Roseburg, OR by specialty
• Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.