Holly Ann Champa, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH 6888 Issued in FL

Practice address

1970 Michigan Ave
J 2
Cocoa, FL 32922-5758

Phone

(321) 639-4483

Fax

(321) 690-0848

NPI assigned

Apr 10, 2006

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Burnham Woods Champa & Associates

  • Addiction (Substance Use Disorder) Counselor
  • Cocoa, FL
  • NPI 1851354732

  Mental Health

  NPD

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220918400000",
    "number": "1215990197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1970 MICHIGAN AVE",
            "address_2": "J 2",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329225758",
            "telephone_number": "321-639-4483",
            "fax_number": "321-690-0848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1970 MICHIGAN AVE",
            "address_2": "J 2",
            "city": "COCOA",
            "state": "FL",
            "postal_code": "329225758",
            "telephone_number": "321-639-4483",
            "fax_number": "321-690-0848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMPA",
        "first_name": "HOLLY",
        "middle_name": "ANN",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-10",
        "last_updated": "2008-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 6888",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "Z9402",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ketsia Celestin Louis, M.D.
• Caroline R Cellich
• Cereus Osteopathic Medicine LLC
• Cfsatc, Inc. (Central Florida Treatment Center)
• Michelle Chaffardet
• Mary Catherine Chapman, MSN, FNP-BC
• Mildred M. Chapman, BCABA
• Josephine Louise Chasar, MS CCC-SLP
• Aisha L Chaudhry, LMHC, LPC
• Erik Chelberg, MSW

• Mental Health Counselor in Cocoa, FL
• Providers in Cocoa, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2008; 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.