Active NPI
Holly Dahl, MS, LPC, LCDC-INTERN
- Professional Counselor
- Celina, TX
National Provider Identifier
1396376273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 78483
- Practice address
- 613 W Oak St
Celina, TX 75009-6381 - Phone
- (682) 208-7872
- NPI assigned
- Jan 30, 2020
- Last updated
- Jan 30, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 78483 | TX | Primary |
Addresses
Primary practice location
613 W Oak St
Celina, TX 75009-6381
Mailing address
8400 Stacy Rd Ste 100
McKinney, TX 75070-2144
Other names 1
- Holly Berry
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 78483 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580342400000",
"number": "1396376273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8400 STACY RD STE 100",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750702144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "613 W OAK ST",
"city": "CELINA",
"state": "TX",
"postal_code": "750096381",
"telephone_number": "682-208-7872"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAHL",
"first_name": "HOLLY",
"credential": "MS, LPC, LCDC-INTERN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-01-30",
"last_updated": "2020-01-30",
"certification_date": "2020-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "78483",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HOLLY",
"last_name": "BERRY",
"credential": "MS, LPC, LCDC-INTERN",
"code": "1",
"type": "Former Name"
}
]
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.