Individual provider Active NPI

Holly Ann Eary, MA, LPCC

  • Professional Counselor
  • Wilder, KY
National Provider Identifier
1215078407
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
KY-826 Issued in KY
Practice address
519 Licking PK
Wilder, KY 41071
Phone
(859) 572-0400
NPI assigned
Feb 9, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X KY-826 KY Primary

Addresses

Primary practice location

519 Licking PK
Wilder, KY 41071

Mailing address

519 Licking PK
Wilder, KY 41071
Phone (859) 572-0400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20240124003610 OH Practitioner - Mental Health Counselor 2264885433 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
University of Cincinnati College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cancer Family Care, Inc.Group PAC ID 8628029295, 7 clinicians

Practice addresses (Care Compare)

4790 Red Bank Expressway
Suite 128
Cincinnati, OH 45227
Phone 5137313346104

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
KY-826KYMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cancer Family Care, Inc. CurrentSince Jan 1, 2024 Accepting new patients

Locations

4790 Red Bank Rd
Ste 128
Cincinnati, OH 45227
Phone (513) 252-0533

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215078407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 LICKING PK",
            "city": "WILDER",
            "state": "KY",
            "postal_code": "41071",
            "telephone_number": "859-572-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 LICKING PK",
            "city": "WILDER",
            "state": "KY",
            "postal_code": "41071",
            "telephone_number": "859-572-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EARY",
        "first_name": "HOLLY",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "MA, LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "KY-826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilder, KY

Sources for this page

Verify at the official NPI Registry.