Individual provider Active NPI

Holly Nielsen, LMFT

  • Marriage & Family Therapist
  • Chico, CA
National Provider Identifier
1306500871
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
136702 Issued in CA
Practice address
60 Independence Cir Ste 202
Chico, CA 95973-4921
Phone
(530) 551-8312
NPI assigned
Oct 29, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 136702 CA Primary

Addresses

Primary practice location

60 Independence Cir Ste 202
Chico, CA 95973-4921

Mailing address

60 Independence Cir Ste 202
Chico, CA 95973-4921
Phone (530) 551-8312

Other identifiers 1

IdentifierTypeStateIssuer
LMFT136702OtherCALICENSED MARRIAGE AND FAMILY THERAPIST

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://www.hollynielsenlmft.com/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
136702CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Growing Place Center for Helping People Marriage & Family Therapist PastSince Oct 1, 2021 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": "1635465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1306500871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 INDEPENDENCE CIR STE 202",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959734921",
            "telephone_number": "530-551-8312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 INDEPENDENCE CIR STE 202",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959734921",
            "telephone_number": "530-551-8312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIELSEN",
        "first_name": "HOLLY",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-29",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "136702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED MARRIAGE AND FAMILY THERAPIST",
            "identifier": "LMFT136702",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.hollynielsenlmft.com/",
            "affiliation": "N",
            "address_1": "60 Independence Cir Ste 202",
            "city": "Chico",
            "state": "CA",
            "country_code": "US",
            "postal_code": "959734921",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chico, CA

Sources for this page

Verify at the official NPI Registry.