Individual provider Active NPI

Kellie Hollinshead, LPCC

  • Mental Health Counselor
  • University HTS, OH
National Provider Identifier
1457930018
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C.2204019 Issued in OH
Practice address
20620 John Carroll Blvd Ste 214
University HTS, OH 44118-4540
Phone
(216) 408-7555
Fax
(216) 424-3239
NPI assigned
Apr 2, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C.2204019 OH Primary

Addresses

Primary practice location

20620 John Carroll Blvd Ste 214
University HTS, OH 44118-4540

Mailing address

20620 John Carroll Blvd Ste 214
University HTS, OH 44118-4540

Other practice location 1

19300 Detroit Rd Ste 201
Rocky River, OH 44116-1846
Phone (216) 408-7555

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

LicenseStateTypeSpecialty
C.2204019OHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Jessica Becka LLC Mental Health CurrentSince Jul 9, 2023 Accepting new patients

Locations

19300 Detroit Rd
Ste 201
Rocky River, OH 44116
Phone (216) 408-7555

20620 John Carroll Blvd
Ste 214
University Hts, OH 44118
Phone (216) 408-7555

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1617321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742774400000",
    "number": "1457930018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20620 JOHN CARROLL BLVD STE 214",
            "city": "UNIVERSITY HTS",
            "state": "OH",
            "postal_code": "441184540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20620 JOHN CARROLL BLVD STE 214",
            "city": "UNIVERSITY HTS",
            "state": "OH",
            "postal_code": "441184540",
            "telephone_number": "216-408-7555",
            "fax_number": "216-424-3239"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19300 Detroit Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Rocky River",
            "state": "OH",
            "postal_code": "441161846",
            "country_code": "US",
            "telephone_number": "216-408-7555",
            "fax_number": "216-424-3239",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLLINSHEAD",
        "first_name": "KELLIE",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-02",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.2204019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in University HTS, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.