Hollie Bateman

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701006360 Issued in VA

Practice address

1041 Sharon Rd
Ste 201
King William, VA 23086-3347

Phone

(804) 769-2751

Fax

(804) 769-3125

NPI assigned

Oct 12, 2015

Last updated

Oct 12, 2015By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Middle Peninsula Northern Neck Mental Health & Retardation

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Gloucester, VA
  • NPI 1497717615
  NPD (past)
• Middle Peninsula-Northern Neck Mental Health and Mental Retardation

  dba Rural Infant Services Program

  • Speech-Language Pathologist
  • Urbanna, VA
  • NPI 1992879282
  NPD (past)

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

{
    "created_epoch": "1444608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444608000000",
    "number": "1265803670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9228 GEORGE WASHINGTON MEMORIAL HWY",
            "address_2": "ATTN: CREDENTIALING DEPT",
            "city": "GLOUCESTER",
            "state": "VA",
            "postal_code": "230614162",
            "telephone_number": "804-695-8119",
            "fax_number": "804-695-8122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 SHARON RD",
            "address_2": "STE 201",
            "city": "KING WILLIAM",
            "state": "VA",
            "postal_code": "230863347",
            "telephone_number": "804-769-2751",
            "fax_number": "804-769-3125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATEMAN",
        "first_name": "HOLLIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-12",
        "last_updated": "2015-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701006360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Bensen
• Bon Secours Memorial Regional Medical Center LLC (Aylett Medical Center)
• Terica Tanelle Hodge Brown, LCSW
• Commonwealth of Virginia State Board of Health (King William County Health Department)
• Cornerstone Community Services LLC

• Professional Counselor in King William, VA
• Providers in King William, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2015; 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.