Individual provider Active NPI

Holly Beth Kozee, PH.D.

  • Clinical Psychologist
  • Fairhope, AL
National Provider Identifier
1467783159
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2170 Issued in AL
Practice address
357 Morphy Ave
Fairhope, AL 36532-2325
Phone
(251) 616-1040
Fax
(251) 616-1044
NPI assigned
Jan 20, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 34294 TX
Clinical Psychologist 103TC0700X 1238 WV
Counseling Psychologist 103TC1900X 34294 TX
Counseling Psychologist 103TC1900X 2170 AL
Counseling Psychologist 103TC1900X 1238 WV
Group Psychotherapy Psychologist 103TP2701X 2170 AL
Clinical Psychologist 103TC0700X 2170 AL Primary

Addresses

Primary practice location

357 Morphy Ave
Fairhope, AL 36532-2325

Mailing address

19760 Hunters Loop
Fairhope, AL 36532-4801
Phone (251) 616-1040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, AL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20191209002085 WV Practitioner - Clinical Psychologist 5496902603 Reassigns benefits to 1 organization
I20250409000896 AL Practitioner - Clinical Psychologist 5496902603 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Ohio State University College of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

357 Morphy Ave
Fairhope, AL 36532-2325
Phone (251) 616-1040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2170ALMDGroup Psychotherapy Psychologist
34294TXMDClinical Social Worker
1238WVMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Empower Therapy for Women, LLC Clinical CurrentSince Mar 27, 2025 Accepting new patients
Meditelecare of West Virginia PLLC Clinical CurrentSince Oct 2, 2019 Accepting new patients

Locations

357 Morphy Ave
Fairhope, AL 36532
Phone (251) 225-8359

4242 Medical Dr
Ste 7100
San Antonio, TX 78229
Phone (210) 342-1906

400 Fairview Heights Rd
Summersville, WV 26651
Phone (304) 872-2891

Organizations & group practices 2

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": "1263945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1467783159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19760 HUNTERS LOOP",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365324801",
            "telephone_number": "251-616-1040",
            "fax_number": "251-616-1044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "357 MORPHY AVE",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365322325",
            "telephone_number": "251-616-1040",
            "fax_number": "251-616-1044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOZEE",
        "first_name": "HOLLY",
        "middle_name": "BETH",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-20",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "34294",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WV",
            "license": "1238",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "TX",
            "license": "34294",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "AL",
            "license": "2170",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "WV",
            "license": "1238",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "AL",
            "license": "2170",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AL",
            "license": "2170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairhope, AL

Sources for this page

Verify at the official NPI Registry.