Active NPI
Delores Gregory Hollen, MA, LPC
- Professional Counselor
- Santee, SC
National Provider Identifier
1407040728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 4338
- Practice address
- 8799 Old Highway #6
Santee, SC 29142 - Phone
- (843) 303-2779
- NPI assigned
- Aug 29, 2007
- Last updated
- Aug 30, 2007
- 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 | 4338 | SC | Primary |
Addresses
Primary practice location
8799 Old Highway #6
Santee, SC 29142
Mailing address
1039 Planters Place
Mt Pleasant, SC 29464
Phone (843) 303-2779
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 Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188432000000",
"number": "1407040728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1039 PLANTERS PLACE",
"city": "MT PLEASANT",
"state": "SC",
"postal_code": "29464",
"telephone_number": "843-303-2779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8799 OLD HIGHWAY #6",
"city": "SANTEE",
"state": "SC",
"postal_code": "29142",
"telephone_number": "843-303-2779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLEN",
"first_name": "DELORES",
"middle_name": "GREGORY",
"name_prefix": "Ms.",
"credential": "MA, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-29",
"last_updated": "2007-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "SC",
"license": "4338",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santee, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.