Individual provider Active NPI

Holly Ann Tufan, LPC

  • Mental Health Counselor
  • Dunwoody, GA
National Provider Identifier
1366261612
Registry record updated Oct 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC14508 Issued in GA
Practice address
41 Perimeter Ctr E Ste 640
Dunwoody, GA 30346-1903
Phone
(770) 871-3730
NPI assigned
Oct 4, 2024
Last updated
Oct 4, 2024By the provider in NPPES
Sex
Unspecified or another gender identity
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2024

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 LPC14508 GA Primary

Addresses

Primary practice location

41 Perimeter Ctr E Ste 640
Dunwoody, GA 30346-1903

Mailing address

1295 Bandana Blvd N Ste 210
Saint Paul, MN 55108-5115

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPC14508GAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Veritas Collaborative Atlanta, LLC Dba the Emily Program CurrentSince Oct 6, 2024 Accepting new patients

Locations

41 Perimeter Ctr E
Ste 640
Dunwoody, GA 30346
Phone (770) 871-3730

1295 Bandana Blvd N
Ste 210
Saint Paul, MN 55108
Phone (888) 272-0784

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, 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": "1728000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728000000000",
    "number": "1366261612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1295 BANDANA BLVD N STE 210",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551085115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 PERIMETER CTR E STE 640",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303461903",
            "telephone_number": "770-871-3730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUFAN",
        "first_name": "HOLLY",
        "middle_name": "ANN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2024-10-04",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC14508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunwoody, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2024; 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.