Individual provider Active NPI

Holly Gayle Lewis

  • Professional Counselor
  • Pueblo, CO
National Provider Identifier
1295234128
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC.0004018 Issued in CO
Practice address
41 Montebello Rd Ste 116
Pueblo, CO 81001-1366
Phone
(719) 423-1500
Fax
(719) 542-9269
NPI assigned
Feb 6, 2018
Last updated
Feb 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X ACD.0001569 CO
Professional Counselor 101YP2500X LPC.0004018 CO Primary

Addresses

Primary practice location

41 Montebello Rd Ste 116
Pueblo, CO 81001-1366

Mailing address

41 Montebello Rd Ste 202
Pueblo, CO 81001-1366
Phone (719) 545-2746

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20240122001875 CO Practitioner - Mental Health Counselor 0244682607 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1591 Taos Rd
Pueblo, CO 81006-1232
Phone (719) 423-1500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ACD.0001569COMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Health Solutions Current Accepting new patients
Health Solutions CurrentSince Jan 4, 2024 Accepting new patients
Health Solutions CurrentSince Jan 4, 2024 Accepting new patients
Spanish Peaks New Alternatives, Inc. CurrentSince Jan 4, 2024 Accepting new patients
Spanish Peaks New Alternatives, Inc. CurrentSince Jan 4, 2024 Accepting new patients

Locations

1012 W Abriendo Ave
Pueblo, CO 81004
Phone (719) 583-2207

1302 Chinook Ln
Pueblo, CO 81001

1304 Chinook Ln
Pueblo, CO 81001
Phone (719) 562-3222

1310 Chinook Ln
Pueblo, CO 81001

2003 E 4th St
Pueblo, CO 81001
Phone (719) 544-6373

41 Montebello Rd
Lowr LL1
Pueblo, CO 81001

41 Montebello Rd
Ste 100
Pueblo, CO 81001

41 Montebello Rd
Ste 104
Pueblo, CO 81001

41 Montebello Rd
Ste 116
Pueblo, CO 81001
Phone (719) 423-1500

41 Montebello Rd
Ste 120
Pueblo, CO 81001
Phone (719) 423-1500

41 Montebello Rd
Ste 202
Pueblo, CO 81001
Phone (719) 423-1341

41 Montebello Rd
Ste 204
Pueblo, CO 81001
Phone (719) 423-1341

417 S Indiana Ave
Trinidad, CO 81082
Phone (719) 846-4416

910 E Main St
Trinidad, CO 81082
Phone (719) 631-3370

926 Russell Ave
Walsenburg, CO 81089
Phone (719) 738-2386

Interoperability endpoints

  • Direct secure messaging: holly.lewis.p1@direct.healthsolutions.nextgenshare.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1517875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1295234128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 MONTEBELLO RD STE 202",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810011366",
            "telephone_number": "719-545-2746",
            "fax_number": "719-545-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 MONTEBELLO RD STE 116",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810011366",
            "telephone_number": "719-423-1500",
            "fax_number": "719-542-9269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "HOLLY",
        "middle_name": "GAYLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-06",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "ACD.0001569",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0004018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

Verify at the official NPI Registry.