Individual provider Active NPI

Hollie Deann Smith, LPC

  • Mental Health Counselor
  • Grand Junction, CO
National Provider Identifier
1336668391
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC.0015694 Issued in CO
Practice address
390 Sorrel St
Grand Junction, CO 81501-7850
Phone
(970) 623-1857
NPI assigned
Sep 11, 2017
Last updated
Mar 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC.0015694 CO Primary

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 1

  • Hollie Deann Jones Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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
I20250204001978 ID Practitioner - Mental Health Counselor 3274977541 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC.0015694COMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Serenity Peaks, LLC Professional CurrentSince Apr 10, 2022 Accepting new patients
Adolpho Enterprise LLC. Mental Health CurrentSince Jan 20, 2025 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) 254-7783

Organizations & group practices 3

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": "1505088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1336668391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 SORREL ST",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815017850",
            "telephone_number": "970-623-1857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 SORREL ST",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815017850",
            "telephone_number": "970-623-1857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "HOLLIE",
        "middle_name": "DEANN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-11",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPC.0015694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HOLLIE",
            "last_name": "JONES",
            "middle_name": "DEANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grand Junction, CO

Sources for this page

Verify at the official NPI Registry.