Individual provider Active NPI

Julia Duesing Hollenbeck, LPC

  • Professional Counselor
  • Conroe, TX
National Provider Identifier
1245584846
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
66848 Issued in TX
Practice address
16 Dogwood TRL
Conroe, TX 77304-1288
Phone
(936) 203-9860
NPI assigned
Nov 4, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 66848 TX Primary

Addresses

Primary practice location

16 Dogwood TRL
Conroe, TX 77304-1288

Mailing address

16 Dogwood TRL
Conroe, TX 77304-1288
Phone (936) 203-9860

Other names 1

  • Julia Ayraud Former name

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20250108000768 TX Practitioner - Mental Health Counselor 0446788285 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

11607 Spring Cypress Rd
Suite E
Tomball, TX 77377-8916
Phone (832) 720-6864

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
66848TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Grief Refuge PLLC CurrentSince Oct 3, 2024 Accepting new patients
Embrace Your Life, PLLC Current Accepting new patients

Locations

8900 Eastloch Dr
Ste 225A
Spring, TX 77379
Phone (832) 720-6864

11607 Spring Cypress Rd
Ste E
Tomball, TX 77377
Phone (832) 720-6864

Organizations & group practices 2

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": "1351987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1245584846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 DOGWOOD TRL",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773041288",
            "telephone_number": "936-203-9860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 DOGWOOD TRL",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773041288",
            "telephone_number": "936-203-9860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLENBECK",
        "first_name": "JULIA",
        "middle_name": "DUESING",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-04",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "66848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIA",
            "last_name": "AYRAUD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Conroe, TX

Sources for this page

Verify at the official NPI Registry.