Individual provider Active NPI

Skylar Hollabaugh, LMHC

  • Mental Health Counselor
  • Saint Augustine, FL
National Provider Identifier
1285304840
Registry record updated Mar 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
42 Carlota Way
Saint Augustine, FL 32095-0069
Phone
(904) 274-1887
Fax
(239) 423-0763
NPI assigned
Sep 15, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

42 Carlota Way
Saint Augustine, FL 32095-0069

Mailing address

42 Carlota Way
Saint Augustine, FL 32095-0069
Phone (904) 274-1887

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 3, 2024 through Jul 3, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Skylar Hollabaugh Counseling Mental Health CurrentSince Jan 1, 2023 Accepting new patients

Organizations & group practices 1

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": "1631664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742083200000",
    "number": "1285304840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 CARLOTA WAY",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320950069",
            "telephone_number": "904-274-1887",
            "fax_number": "239-423-0763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 CARLOTA WAY",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320950069",
            "telephone_number": "904-274-1887",
            "fax_number": "239-423-0763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLABAUGH",
        "first_name": "SKYLAR",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-15",
        "last_updated": "2025-03-16",
        "certification_date": "2025-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Augustine, FL

Sources for this page

Verify at the official NPI Registry.