Individual provider Active NPI

Sally Holzer

  • Rehabilitation Counselor
  • Pahrump, NV
National Provider Identifier
1194029009
Registry record updated Jan 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation CounselorTaxonomy code 225C00000X
Practice address
240 Humahuaca St
Pahrump, NV 89048-2199
Phone
(775) 751-7406
Fax
(775) 751-7409
NPI assigned
Jan 6, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Counselor 225C00000X Primary

Addresses

Primary practice location

240 Humahuaca St
Pahrump, NV 89048-2199

Mailing address

1665 Old Hot Springs Rd
Suite 157
Carson City, NV 89706-0782
Phone (775) 687-5162

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20250721002644 NV Practitioner - Clinical Social Worker 8325554983 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Serenity Mental HealthGroup PAC ID 3072813245, 9 clinicians

Practice addresses (Care Compare)

6048 S Durango Dr
Suite 115
Las Vegas, NV 89113-1781
Phone (702) 815-1550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Serenity Mental Health CurrentSince Dec 8, 2025 Accepting new patients
Serenity Counseling LLC CurrentSince May 2, 2025 Accepting new patients

Locations

755 N Roop St
Ste 101
Carson City, NV 89701
Phone (775) 841-6050

6048 S Durango Dr
Ste 115
Las Vegas, NV 89113
Phone (702) 815-1554

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1294272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294272000000",
    "number": "1194029009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1665 OLD HOT SPRINGS RD",
            "address_2": "SUITE 157",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897060782",
            "telephone_number": "775-687-5162",
            "fax_number": "775-687-1214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 HUMAHUACA ST",
            "city": "PAHRUMP",
            "state": "NV",
            "postal_code": "890482199",
            "telephone_number": "775-751-7406",
            "fax_number": "775-751-7409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLZER",
        "first_name": "SALLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-06",
        "last_updated": "2011-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225C00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pahrump, NV

Sources for this page

Verify at the official NPI Registry.