Shaynna Hollowell-Williams

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

99124570A Issued in IN

Practice address

3220 E Jefferson Blvd
South Bend, IN 46615-3028

Phone

(574) 222-2466

NPI assigned

May 17, 2024

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Dr Heather Holleman LLC

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  • South Bend, IN
  • NPI 1942999636
  NPD
• Reflections Counseling

  • Community/Behavioral Health Agency
  • South Bend, IN
  • NPI 1023428711
  NPD

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

{
    "created_epoch": "1715904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715904000000",
    "number": "1164271300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 S KENMORE ST",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466191823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3220 E JEFFERSON BLVD",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466153028",
            "telephone_number": "574-222-2466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLOWELL-WILLIAMS",
        "first_name": "SHAYNNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-17",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IN",
            "license": "99124570A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa E Holderread, CNM
• Sarah Ann Holewczynski, RN, NP-C
• Kenneth Charles Holford
• Theresa Marie Bartos Holladay, D.O.
• Heather Holleman, PH.D., HSPP
• Melissa Holman, LCGC
• Dorothy Holmes
• Suzanne Marie Holmes
• Kelly Holst-Haley
• Bridgett Holt

• Marriage & Family Therapist in South Bend, IN
• Providers in South Bend, IN by specialty
• Marriage & Family Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.