Active NPI
Holly Sigsbee
- Mental Health Counselor
- Winter Haven, FL
National Provider Identifier
1427302603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH10919
- Practice address
- 1201 1St St S
Winter Haven, FL 33880-3904 - Phone
- (863) 294-7062
- NPI assigned
- Nov 9, 2012
- Last updated
- Sep 19, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH10919 | FL | Primary |
Addresses
Primary practice location
1201 1St St S
Winter Haven, FL 33880-3904
Mailing address
1201 1St St S
Winter Haven, FL 33880-3904
Phone (863) 294-7062
Other practice location 1
1825 Gilmore Ave
Lakeland, FL 33805-3017
Phone (863) 519-0575 ext. 1111
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Holly.SigsbeeLMHC@direct.mybaycare.org | Health Information Exchange (HIE) | BayCare Medical Group, Inc. |
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
| License | State | Type | Specialty |
|---|---|---|---|
| MH10919 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peace River Center for Personal Development Inc | Past | Accepting new patients | |
| Peace River Center for Personal Development Inc | Past | Accepting new patients |
Interoperability endpoints
- holly.sigsbee@cccl.eclinicaldirectplus.com
- holly.sigsbeelmhc@direct.mybaycare.org
Organizations & group practices 2
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Lakeland, FL
- NPI 1538802939
-
dba Peace River Center
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Bartow, FL
- NPI 1821097767
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663545600000",
"number": "1427302603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 1ST ST S",
"city": "WINTER HAVEN",
"state": "FL",
"postal_code": "338803904",
"telephone_number": "863-294-7062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 1ST ST S",
"city": "WINTER HAVEN",
"state": "FL",
"postal_code": "338803904",
"telephone_number": "863-294-7062"
}
],
"practiceLocations": [
{
"address_1": "1825 Gilmore Ave",
"address_purpose": "LOCATION",
"city": "Lakeland",
"state": "FL",
"postal_code": "338053017",
"country_code": "US",
"telephone_number": "863-519-0575 x1111",
"fax_number": "863-582-9251",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIGSBEE",
"first_name": "HOLLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-09",
"last_updated": "2022-09-19",
"certification_date": "2022-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH10919",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Holly.SigsbeeLMHC@direct.mybaycare.org",
"affiliation": "Y",
"affiliationName": "BayCare Medical Group, Inc.",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2995 Drew St Fl 2",
"city": "Clearwater",
"state": "FL",
"country_code": "US",
"postal_code": "337593012",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Winter Haven, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.