Individual provider Active NPI

Cathelyne Elisabeth Hollibaugh, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Arvada, CO
National Provider Identifier
1245558402
Registry record updated Oct 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
12155 W 68TH PL
Arvada, CO 80004-2318
Phone
(706) 347-0691
NPI assigned
May 12, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X Primary

Addresses

Primary practice location

12155 W 68TH PL
Arvada, CO 80004-2318

Mailing address

12155 W 68TH PL
Arvada, CO 80004-2318
Phone (706) 347-0691

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250617003451 MT Practitioner - Qualified Speech Language Pathologist 2961913843 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Root Therapy and Wellness CurrentSince Apr 1, 2025 Accepting new patients
Spinerx Scoliosis and Spine Rehab, LLC Past Accepting new patients
Just the Beginning Speech-Language Pathologist Past Accepting new patients

Locations

1283 N 14th Ave
Ste 101
Bozeman, MT 59715

612 W Griffin Dr
Ste A
Bozeman, MT 59715
Phone (406) 219-5388

2411 W Main St
Ste 2
Bozeman, MT 59718
Phone (406) 219-5388

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1273622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538611200000",
    "number": "1245558402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12155 W 68TH PL",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800042318",
            "telephone_number": "706-347-0691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12155 W 68TH PL",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800042318",
            "telephone_number": "706-347-0691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLIBAUGH",
        "first_name": "CATHELYNE",
        "middle_name": "ELISABETH",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-12",
        "last_updated": "2018-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arvada, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.