Individual provider Active NPI

Holly Marie Carter, LLMSW

  • Mental Health Counselor
  • Howell, MI
National Provider Identifier
1356823538
Registry record updated Sep 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6801100539 Issued in MI
Practice address
2020 E Grand River Ave
Howell, MI 48843-2478
Phone
(517) 545-5944
NPI assigned
Sep 4, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2018

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 6801100539 MI Primary

Addresses

Primary practice location

2020 E Grand River Ave
Howell, MI 48843-2478

Mailing address

4308 Merriman Loop
Howell, MI 48843-5213
Phone (810) 348-7926

Other names 1

  • Ms. Holly Marie Bologna Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20210421000660 MI Practitioner - Clinical Social Worker 4789092313 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Livingston County Catholic CharitiesGroup PAC ID 8527972223, 9 clinicians

Practice addresses (Care Compare)

2895 W Grand River Ave
Howell, MI 48843-8538
Phone (517) 545-5944

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801100539MIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Livingston County Catholic Charities Mental Health CurrentSince Apr 12, 2021 Accepting new patients

Locations

2020 E Grand River Ave
Ste 104
Howell, MI 48843
Phone (517) 545-5944

2895 W Grand River Ave
Howell, MI 48843
Phone (517) 545-5944

2020 E Grand River Ave
Howell, MI 48843
Phone (517) 376-6262

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1536019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536019200000",
    "number": "1356823538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4308 MERRIMAN LOOP",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "488435213",
            "telephone_number": "810-348-7926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 E GRAND RIVER AVE",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "488432478",
            "telephone_number": "517-545-5944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "HOLLY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-04",
        "last_updated": "2018-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6801100539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HOLLY",
            "last_name": "BOLOGNA",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Howell, MI

Sources for this page

Verify at the official NPI Registry.