Individual provider Active NPI

Jill Marie Hollandsworth, MA, LMFT

  • Marriage & Family Therapist
  • Kirksville, MO
National Provider Identifier
1245031533
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2026026427 Issued in MO
Practice address
2015 S Halliburton St
Kirksville, MO 63501-4646
Phone
(660) 626-0698
Fax
(660) 626-5872
NPI assigned
Mar 21, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 2026026427 MO Primary

Addresses

Primary practice location

2015 S Halliburton St
Kirksville, MO 63501-4646

Mailing address

PO Box 844715
Kansas City, MO 64184-4715
Phone (417) 761-5000

Other practice location 1

130 Calo Ln
Lake Ozark, MO 65049-9208
Phone (573) 273-8193

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1742515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786492800000",
    "number": "1245031533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844715",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641844715",
            "telephone_number": "417-761-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 S HALLIBURTON ST",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635014646",
            "telephone_number": "660-626-0698",
            "fax_number": "660-626-5872"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "130 Calo Ln",
            "address_purpose": "LOCATION",
            "city": "Lake Ozark",
            "state": "MO",
            "postal_code": "650499208",
            "country_code": "US",
            "telephone_number": "573-273-8193",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLLANDSWORTH",
        "first_name": "JILL",
        "middle_name": "MARIE",
        "credential": "MA, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-21",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MO",
            "license": "2026026427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirksville, MO

Sources for this page

Verify at the official NPI Registry.