Holly Lynn McCray, CDCA

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

161664 Issued in OH

Practice address

3055 S State Route 100
Tiffin, OH 44883-8868

Phone

(419) 447-1444

NPI assigned

Jan 11, 2022

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

Other names 1

• Holly Lynn Nusbaum Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1641859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641859200000",
    "number": "1306597356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 SCHONHARDT ST",
            "city": "TIFFIN",
            "state": "OH",
            "postal_code": "448833028",
            "telephone_number": "567-201-3036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3055 S STATE ROUTE 100",
            "city": "TIFFIN",
            "state": "OH",
            "postal_code": "448838868",
            "telephone_number": "419-447-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCRAY",
        "first_name": "HOLLY",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "CDCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-11",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "161664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HOLLY",
            "last_name": "NUSBAUM",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alyssa Marie Matejka, ATC
• Jessica Danielle May, LPN
• Mary Brooke May, PTA
• Susan McCafferty, PSY.D.
• Janice B McClung, PT
• Charity Renee McEliece
• Lauren Louise McGraw, AT, ATC
• Jessica McKeever
• John Francis McKinney IV, OD
• Megan Marie McLaughlin, OT

• Addiction (Substance Use Disorder) Counselor in Tiffin, OH
• Providers in Tiffin, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; 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.