Active NPI
Mallory Christine Holy
- Mental Health Counselor
- Cape Coral, FL
National Provider Identifier
1427640580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 1105 Cultural Park Blvd
Cape Coral, FL 33990-1217 - Phone
- (239) 333-2206
- NPI assigned
- Feb 9, 2021
- Last updated
- Feb 9, 2021
- 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 | NU | Primary |
Addresses
Primary practice location
1105 Cultural Park Blvd
Cape Coral, FL 33990-1217
Mailing address
3763 Evans Ave
Fort Myers, FL 33901-9302
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mholy@saluscareflorida.org | Direct |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saluscare, Inc. | Current | Accepting new patients |
Locations
1105 Cultural Park Blvd S
Cape Coral, FL 33990
Phone (239) 772-1211
3763 Evans Ave
Fort Myers, FL 33901
Phone (239) 332-6937
Organizations & group practices 1
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)
- Fort Myers, FL
- NPI 1972557197
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612828800000",
"number": "1427640580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3763 EVANS AVE",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339019302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1105 CULTURAL PARK BLVD",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339901217",
"telephone_number": "239-333-2206"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLY",
"first_name": "MALLORY",
"middle_name": "CHRISTINE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-09",
"last_updated": "2021-02-09",
"certification_date": "2021-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mholy@saluscareflorida.org",
"affiliation": "N",
"endpointDescription": "work email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1105 Cultural Park Blvd",
"city": "Cape Coral",
"state": "FL",
"country_code": "US",
"postal_code": "339901217",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Cape Coral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.