Hollie Deann Smith, LPC
Individual provider Active NPI Mental Health Counselor · Grand Junction, CO
NPI 1336668391 · NPPES record last updated Mar 5, 2025
Key facts
- NPI
- 1336668391
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- LPC.0015694 (CO)
- Practice address
- 390 Sorrel St
Grand Junction, CO 81501-7850 - Phone
- (970) 623-1857
- NPI assigned
- Sep 11, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250204001978 | ID | Practitioner - Mental Health Counselor | 3274977541 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC.0015694 | CO | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adolpho Enterprise LLC. | Mental Health | Current |
Accepting new patients |
| Serenity Peaks, LLC | Professional | Current |
Accepting new patients |
| Adolpho Enterprise LLC. | Past | Accepting new patients |
Locations
3649 N Lakeharbor Ln
Boise, ID 83703
Phone (208) 991-4296
1301 E 17th St
Idaho Falls, ID 83404
Phone (208) 538-3122
396 Yellowstone Ave
Pocatello, ID 83201
Phone (208) 419-0144
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LPC.0015694 | CO | Yes |
Addresses
Primary practice location
390 Sorrel St
Grand Junction, CO 81501-7850
Mailing address
390 Sorrel St
Grand Junction, CO 81501-7850
Phone (970) 623-1857
Other names
- Hollie Deann Jones
Other providers in Grand Junction, CO
- Danielle Anne Smith
- David F Smith
- Elizabeth Smith
- Hayden X Smith
- Heather Janae Smith
- Jacqueline Annette Smith
- James Joseph Smith
- Jeana Smith
- Jeffrey Darrell Smith
- Jeremy Lynn Smith
All providers in Grand Junction, CO · Mental Health Counselor in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 5, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.