Haley Victoria Hollis, LCPC-C

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

XL7965 Issued in ME

Practice address

60 Forest Falls Dr Ste 1
Yarmouth, ME 04096-6971

Phone

(207) 200-7279

NPI assigned

Feb 28, 2025

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

Enrolled in ME

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Health Affiliates Maine, LLCGroup PAC ID 1951594076, 169 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Health Affiliates Maine, LLC

  • Community/Behavioral Health Agency
  • Auburn, ME
  • NPI 1932413556
  Medicare reassignment Care Compare group NPD
• Royal River Family Care, PA

  • Family Nurse Practitioner
  • Yarmouth, ME
  • NPI 1730351354
  NPD

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

{
    "created_epoch": "1740700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1467259200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 FOREST FALLS DR STE 1",
            "city": "YARMOUTH",
            "state": "ME",
            "postal_code": "040966971",
            "telephone_number": "207-200-7279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 FOREST FALLS DR STE 1",
            "city": "YARMOUTH",
            "state": "ME",
            "postal_code": "040966971",
            "telephone_number": "207-200-7279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLIS",
        "first_name": "HALEY",
        "middle_name": "VICTORIA",
        "credential": "LCPC-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-28",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ME",
            "license": "XL7965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Graham Haynes, MAOM, L.AC.
• Heather a Sharkey DO PA
• Carly Helen Herrero, LAC
• Michelle L Higgins, O.D.
• Johanna SF Hill, D.C.
• Tim Holt
• Jonathan Hopps
• Jennifer Sue Hubbard, RPH
• Alex Hutcheon, DDS
• Kristie A Iacuessa, AU.D.

• Professional Counselor in Yarmouth, ME
• Providers in Yarmouth, ME by specialty
• Professional Counselor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.