Cheryl Renee Hollingsworth, R.N., CADAC II

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

204 S Main St
Elkhart, IN 46516-3120

Phone

(574) 293-1086

Fax

(574) 522-7461

NPI assigned

Jun 12, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

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.

• Addiction Recovery Centers of Indiana, Incorporated

  • Community/Behavioral Health Agency
  • Goshen, IN
  • NPI 1467689406
  NPD (past)

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

{
    "created_epoch": "1370995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370995200000",
    "number": "1396183273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 N MAIN ST",
            "city": "GOSHEN",
            "state": "IN",
            "postal_code": "465263207",
            "telephone_number": "574-533-6154",
            "fax_number": "574-534-3951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 S MAIN ST",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465163120",
            "telephone_number": "574-293-1086",
            "fax_number": "574-522-7461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLINGSWORTH",
        "first_name": "CHERYL",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "R.N., CADAC II",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-12",
        "last_updated": "2013-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "IN",
            "license": "28125454A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marissa Hohl, RBT
• Brandi Hohman
• Joshua Peter Holewinski, AGPCNP
• Cathleen Hollancid, BA
• Stephen P Hollenberg, M.D.
• Turquoise Holloway
• Natalie Holmes
• Hook-Superx LLC (CVS Pharmacy)
• Hook-Superx LLC (CVS Pharmacy #06460)
• Hook-Superx LLC (CVS Pharmacy #06475)

• Addiction (Substance Use Disorder) Counselor in Elkhart, IN
• Providers in Elkhart, IN by specialty
• Addiction (Substance Use Disorder) Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2013; 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.