Individual provider Active NPI

Holly Ann Lawrence

  • Mental Health Counselor
  • Frederick, MD
National Provider Identifier
1194479907
Registry record updated Feb 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LC12337 Issued in MD
Practice address
604 Solarex Court
Suite 201
Frederick, MD 21703
Phone
(301) 663-8263
Fax
(301) 682-5326
NPI assigned
Feb 10, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LC12337 MD Primary

Addresses

Primary practice location

604 Solarex Court
Suite 201
Frederick, MD 21703

Mailing address

604 Solarex Court
Suite 201
Frederick, MD 21703
Phone (301) 663-8263

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20240219000605 MD Practitioner - Mental Health Counselor 4789028705 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mosaic Community Services, IncGroup PAC ID 0941289417, 63 clinicians

Practice addresses (Care Compare)

2225 N Charles St
Baltimore, MD 21218-5778
Phone (410) 938-5434

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC12337MDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mosaic Community Services, Inc CurrentSince Jan 7, 2024 Accepting new patients
Mosaic Community Services, Inc. CurrentSince Jan 7, 2024 Accepting new patients

Locations

2225 N Charles St
Baltimore, MD 21218
Phone (410) 366-4360

210 Abrecht Pl
Frederick, MD 21701
Phone (301) 663-8263

604 Solarex Ct
Unit 201
Frederick, MD 21703
Phone (301) 663-8263

610 E Diamond Ave
Ste 100
Gaithersburg, MD 20877
Phone (301) 840-2000

328 N Potomac St
Hagerstown, MD 21740
Phone (410) 740-1901

1931 Greenspring Dr
Timonium, MD 21093

Organizations & group practices 3

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": "1644451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644451200000",
    "number": "1194479907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 SOLAREX COURT",
            "address_2": "SUITE 201",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "21703",
            "telephone_number": "301-663-8263",
            "fax_number": "301-682-5326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 SOLAREX COURT",
            "address_2": "SUITE 201",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "21703",
            "telephone_number": "301-663-8263",
            "fax_number": "301-682-5326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWRENCE",
        "first_name": "HOLLY",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-10",
        "last_updated": "2022-02-10",
        "certification_date": "2022-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC12337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.