Holly Corbin, LPCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0020392 Issued in CO

Practice address

1460 Pierce St
Lakewood, CO 80214-1941

Phone

(720) 310-5868

NPI assigned

Aug 29, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

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

Specialty

Mental Health Counselor

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Eddyline Counseling LLC

  • Community/Behavioral Health Agency
  • Lakewood, CO
  • NPI 1427919836
  Medicare reassignment NPD Authorized official
• Soar - Seeing Our Adolescents Rise

  • Adolescent and Children Mental Health Clinic/Center
  • Denver, CO
  • NPI 1952025983
  NPD

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

{
    "created_epoch": "1693267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1215712161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 PIERCE ST",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802141941",
            "telephone_number": "720-310-5868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 PIERCE ST",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802141941",
            "telephone_number": "720-310-5868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORBIN",
        "first_name": "HOLLY",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-29",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "0020392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly Cooper
• Natalie Coopersmith
• Julia A Copeland, P.T.
• Copper Lantern Wellness & Psychiatry, PLLC
• Ashley Demaris Coram
• Lindsey Rae Corbin
• Richard Cordero
• Diana Carolina Cordoba
• Alyssa Bree Cordova
• Charlene Cordova, RBT

• Mental Health Counselor in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Mental Health Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.