Shelly Nicole Holybee, M.A. LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LMFT107981 Issued in CA

Practice address

219 N Indian Hill Blvd Ste 102
Claremont, CA 91711-4644

Phone

(909) 529-0849

NPI assigned

Feb 10, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Shelly Nicole Baroldy Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 12, 2024 through Jan 12, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1423526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701993600000",
    "number": "1386035541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8176 COUNTRY MILE LN",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925070029",
            "telephone_number": "909-529-0849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 N INDIAN HILL BLVD STE 102",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917114644",
            "telephone_number": "909-529-0849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLYBEE",
        "first_name": "SHELLY",
        "middle_name": "NICOLE",
        "credential": "M.A. LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-10",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF82864",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT107981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELLY",
            "last_name": "BAROLDY",
            "middle_name": "NICOLE",
            "credential": "M.A.MFTI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Marcelle Holmes, PH.D.
• Lester Samuel Holstein III, MD
• Summer Holton
• Alexis S Holverson, PA-C
• Holy Infant Home Care, Inc.
• Brianna May Hom, OTR/L
• Home Medical Enterprises, LLC
• Dana Rose Homer-Bertrand, DO
• Hope Psychiatric Medical Services,Inc.
• Donald Horowitz, MD

• Marriage & Family Therapist in Claremont, CA
• Providers in Claremont, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.