Holly Kathleen Buchanan, NCC, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

34 W Grand Ave Ste 101
Fox Lake, IL 60020-1224

Phone

(847) 322-2975

NPI assigned

Oct 2, 2020

Last updated

Oct 2, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Bailey Behavioral Health, PLLC

  • Professional Counselor
  • Fox Lake, IL
  • NPI 1790258408
  NPD
• Sheffer Psychological Services, PLLC

  • Clinical Psychologist
  • Libertyville, IL
  • NPI 1952809535
  NPD

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

{
    "created_epoch": "1601596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601596800000",
    "number": "1457958464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 W GRAND AVE STE 101",
            "city": "FOX LAKE",
            "state": "IL",
            "postal_code": "600201224",
            "telephone_number": "847-322-2975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 W GRAND AVE STE 101",
            "city": "FOX LAKE",
            "state": "IL",
            "postal_code": "600201224",
            "telephone_number": "847-322-2975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCHANAN",
        "first_name": "HOLLY",
        "middle_name": "KATHLEEN",
        "name_prefix": "Ms.",
        "credential": "NCC, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-02",
        "last_updated": "2020-10-02",
        "certification_date": "2020-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Fox Lake, IL
• Providers in Fox Lake, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2020; 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.