Individual provider Active NPI

Holly Thomas, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Montgomery City, MO
National Provider Identifier
1447087432
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2024036138 Issued in MO
Practice address
1225 Aguilar Dr
Montgomery City, MO 63361-2723
Phone
(573) 582-1234
Fax
(573) 582-1212
NPI assigned
Sep 16, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2024036138 MO Primary

Addresses

Primary practice location

1225 Aguilar Dr
Montgomery City, MO 63361-2723

Mailing address

1225 Aguilar Dr
Montgomery City, MO 63361-2723
Phone (573) 582-1234

Other practice location 1

1201 International Dr
Columbia, MO 65202-1612
Phone (573) 615-7188

Other identifiers 1

IdentifierTypeStateIssuer
420149003MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241023003033 MO Practitioner - Nurse Practitioner 5395278774 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centerpointe Hospital of Columbia LLCGroup PAC ID 0446502652, 20 clinicians
Little Hills Healthcare LLCGroup PAC ID 7719897529, 17 clinicians

Practice addresses (Care Compare)

1201 International Dr
Columbia, MO 65202-1612
Phone (855) 623-7016

4801 Weldon Spring Pkwy
Weldon Spring, MO 63304-9101
Phone (636) 441-7300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
2024036138MOMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
East Central Missouri Behavioral Health Services, Inc CurrentSince Aug 4, 2025 Accepting new patients
Little Hills Healthcare, LLC CurrentSince Oct 1, 2025 Accepting new patients
East Central Missouri Behavioral Health Services, Inc CurrentSince Aug 4, 2025 Accepting new patients
Compass Health, Inc CurrentSince Mar 10, 2025 Accepting new patients
Centerpointe Hospital of Columbia, LLC CurrentSince Oct 15, 2024 Accepting new patients
Compass Health, Inc CurrentSince Mar 10, 2025 Accepting new patients

Locations

1800 Community
#B
Clinton, MO 64735

1201 International Dr
Columbia, MO 65202
Phone (573) 615-2001

340 Kelley Pkwy
Mexico, MO 65265
Phone 5735821234 ext. 3017

1225 Aguilar Dr
Montgomery City, MO 63361
Phone (573) 574-1999

19515 Brune Pkwy
Warrenton, MO 63383
Phone (636) 235-4049

4801 Weldon Spring Pkwy
Weldon Spring, MO 63304
Phone (636) 441-7300

Interoperability endpoints

  • Direct secure messaging: holly.thomas.p1@direct.arthurcenter.nextgenshare.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1726444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782691200000",
    "number": "1447087432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 AGUILAR DR",
            "city": "MONTGOMERY CITY",
            "state": "MO",
            "postal_code": "633612723",
            "telephone_number": "573-582-1234",
            "fax_number": "573-582-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 AGUILAR DR",
            "city": "MONTGOMERY CITY",
            "state": "MO",
            "postal_code": "633612723",
            "telephone_number": "573-582-1234",
            "fax_number": "573-582-1212"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 International Dr",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MO",
            "postal_code": "652021612",
            "country_code": "US",
            "telephone_number": "573-615-7188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "HOLLY",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-16",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "2024036138",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "420149003",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery City, MO

Sources for this page

Verify at the official NPI Registry.