Individual provider Active NPI

Lori Kay Hollingsworth, PHD, LPC-S, NCC

  • Counselor
  • San Angelo, TX
National Provider Identifier
1316102668
Registry record updated Nov 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
61382 Issued in TX
Practice address
2002 Colorado Ave
San Angelo, TX 76901-3906
Phone
(325) 227-6759
Fax
(325) 227-6760
NPI assigned
Jul 25, 2008
Last updated
Nov 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 61382 TX Primary
Mental Health Counselor 101YM0800X 61382 TX
Professional Counselor 101YP2500X 61382 TX
School Counselor 101YS0200X 61382 TX

Addresses

Primary practice location

2002 Colorado Ave
San Angelo, TX 76901-3906

Mailing address

2002 Colorado Ave
San Angelo, TX 76901-3906
Phone (325) 227-6759

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20240102000458 TX Practitioner - Mental Health Counselor 0345590378 Reassigns benefits to 1 organization
Practice locations: San Angelo, TX

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2002 Colorado Ave
San Angelo, TX 76901-3906

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
61382TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Atlas Counseling & Trauma Services, PLLC Professional CurrentSince Oct 11, 2024 Accepting new patients

Locations

2002 Colorado Ave
San Angelo, TX 76901
Phone (325) 223-2825

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, 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": "1216944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700179200000",
    "number": "1316102668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2002 COLORADO AVE",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769013906",
            "telephone_number": "325-227-6759",
            "fax_number": "325-227-6760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 COLORADO AVE",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769013906",
            "telephone_number": "325-227-6759",
            "fax_number": "325-227-6760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLINGSWORTH",
        "first_name": "LORI",
        "middle_name": "KAY",
        "name_prefix": "Dr.",
        "credential": "PHD, LPC-S, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-25",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "61382",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "61382",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "61382",
            "primary": false
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "TX",
            "license": "61382",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Angelo, TX

Sources for this page

Verify at the official NPI Registry.