Laura Elise Holland

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

11335 Issued in CA

Practice address

665 F St Ste B
Arcata, CA 95521-6364

Phone

(707) 825-1000

NPI assigned

Sep 6, 2017

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

Other names 1

• Elise Holland Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Feb 22, 2024 through Feb 22, 2028

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.

• L. Elise Holland, Licensed Professional Clinical Counselor, P.C.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Arcata, CA
  • NPI 1790679330
  NPD Authorized official
• Melinda Myers PSYD Inc

  • Psychologist
  • Arcata, CA
  • NPI 1285022871
  NPD (past)

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

{
    "created_epoch": "1504656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1194243535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "665 F ST STE B",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "955216364",
            "telephone_number": "707-825-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "665 F ST STE B",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "955216364",
            "telephone_number": "707-825-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "785 18th St",
            "address_purpose": "LOCATION",
            "city": "Arcata",
            "state": "CA",
            "postal_code": "955215683",
            "country_code": "US",
            "telephone_number": "707-822-2481",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLLAND",
        "first_name": "LAURA",
        "middle_name": "ELISE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-06",
        "last_updated": "2022-07-21",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "11335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELISE",
            "last_name": "HOLLAND",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Elizabeth Hobbs
• Christopher Hogan
• Liam Hogan
• Camille Holderman
• James Earl Holland Jr., LCSW
• Lexi Holloman
• Cynthia L. Holmes, RN
• Pamela Holten
• Gabriel Holtski, N.D.
• Faye Honorof, MS MFT

• Professional Counselor in Arcata, CA
• Providers in Arcata, CA by specialty
• Professional Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.