Heather Rae Hollysmith, LMFT, MS

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

166001457 Issued in IL

Practice address

3354 N Paulina St Ste 205
Chicago, IL 60657-1087

Phone

(224) 372-3963

NPI assigned

Aug 21, 2018

Last updated

Mar 24, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Heather Rae Holly Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Affirming Hearts Counseling

  • Marriage & Family Therapist
  • Springfield, IL
  • NPI 1447019245
  NPD Authorized official

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

{
    "created_epoch": "1534809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1215418967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4037 N MAPLEWOOD AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606183717",
            "telephone_number": "708-307-4583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3354 N PAULINA ST STE 205",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606571087",
            "telephone_number": "224-372-3963"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4037 N Maplewood Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606183717",
            "country_code": "US",
            "telephone_number": "708-307-4583",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLLYSMITH",
        "first_name": "HEATHER",
        "middle_name": "RAE",
        "credential": "LMFT, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-21",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "166001457",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "208000658",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "HOLLY",
            "middle_name": "RAE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Courtney Hollowell, MD
• Holly Johnson Carr, LCSW, PLLC (Holly Johnson Carr, LCSW)
• Holly Wiese LCSW, PLLC
• Leanne Holly, LCSW
• Margaret Holly
• Erica Leigh Holm, M.S.
• Iris Holman
• Yoela Tamara Holman, MA, CCC-SLP
• Holmes Psychiatry LLC
• Aaron Wayne Holmes, CRNA

• Marriage & Family Therapist in Chicago, IL
• Providers in Chicago, IL by specialty
• Marriage & Family Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; 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.