Holly Eileen Dallett

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

1431 Gillam Way
Fairbanks, AK 99701-6043

Phone

(907) 322-1112

Fax

(907) 600-0265

NPI assigned

Nov 25, 2021

Last updated

Nov 8, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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.

• Catalyst Counseling & Wellness Group Inc

  dba Catalyst Counseling & Wellness Group

  • Mental Health Counselor
  • Fairbanks, AK
  • NPI 1841031283
  NPD

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

{
    "created_epoch": "1637798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1497412357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 61046",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997061046",
            "telephone_number": "907-322-1112",
            "fax_number": "907-600-0265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431 GILLAM WAY",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997016043",
            "telephone_number": "907-322-1112",
            "fax_number": "907-600-0265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALLETT",
        "first_name": "HOLLY",
        "middle_name": "EILEEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-25",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassandra Dacken-Hutchinson
• Silvia Daeumichen
• Dayna M Daku, PA-C
• Thomas Manford Dale III, PA
• Dallas Norman LPC LLC
• Roseann Marie Dameron, DDS
• Kim E Damrill III, COMMUNITY HEALTHAIDE
• Desiree Dan
• Jennifer Ann Danhauser, LPC
• Daniel M. Bergeron, D.D.S., P.C.

• Counselor in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Counselor in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; 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.