Loletta M Holloway, LMFT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LMFT131469 Issued in CA

Practice address

190 S Orchard Ave Ste A110
Vacaville, CA 95688-3649

Phone

(707) 689-5553

Fax

(707) 660-8206

NPI assigned

Dec 31, 2018

Last updated

Aug 20, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Lighthouse Mental Health Family Therapy Services

  • Mental Health Counselor
  • Vacaville, CA
  • NPI 1669205357
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1546214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1336611458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1787",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956961787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 S ORCHARD AVE STE A110",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956883649",
            "telephone_number": "707-689-5553",
            "fax_number": "707-660-8206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLOWAY",
        "first_name": "LOLETTA",
        "middle_name": "M",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-31",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LMFT131469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dean Robert Hodges
• Brian Hoffman
• Lovelyn Ginoo Hojilla
• Demi Renae Holder
• Lynne K. Hollison, MD
• Emily Holly
• Jonathan Hong
• Teresa Lynn Hood, LMFT
• Kristi Hoog
• Tia Leimomi-Tomiko Horie, O.D.

• Mental Health Counselor in Vacaville, CA
• Providers in Vacaville, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.