Marisa Holland, LPC, NCC, JSOCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

3514 Issued in AL

Practice address

2231 Victory LN. Suite 500
Hoover, AL 35216-6303

Phone

(205) 677-5199

Fax

(205) 778-4311

NPI assigned

Jul 17, 2018

Last updated

Jun 18, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Heartsease Counseling Services LLC

  • Health Service Clinic/Center
  • Hoover, AL
  • NPI 1699239509
  NPD (past) Authorized official

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

{
    "created_epoch": "1531785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560816000000",
    "number": "1356827836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2231 VICTORY LN. SUITE 500",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352166303",
            "telephone_number": "205-677-5199",
            "fax_number": "205-778-4311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2231 VICTORY LN. SUITE 500",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352166303",
            "telephone_number": "205-677-5199",
            "fax_number": "205-778-4311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2127 14th Ave S",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352053900",
            "country_code": "US",
            "telephone_number": "205-677-5199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLLAND",
        "first_name": "MARISA",
        "credential": "LPC, NCC, JSOCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-17",
        "last_updated": "2019-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "3514",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "198068",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Courtney L Hoeppner, APRN
• Alexis Ileana Holland
• Carol Thompson Holland, O.D.
• Jacob Holland, PHARM D
• Macyann Holland, PHARMD
• Ashley Shea Holmes
• Eric Philip Holmes, PHARM.D.
• Megan Holmes
• Rebecca R. Holt, M.S., CCC-SLP
• Home Sweet Birth LLC

• Mental Health Counselor in Hoover, AL
• Providers in Hoover, AL by specialty
• Mental Health Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.