Holly Lois Duck, LPC,NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

P1507078 Issued in AR

Practice address

114 E Crandall Ave Ste B
Harrison, AR 72601-3628

Phone

(870) 741-8484

Fax

(870) 741-4088

NPI assigned

Oct 11, 2012

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 AR

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• River Valley Youth Foundation

  dba Ascent Therapy

  • Community/Behavioral Health Agency
  • Russellville, AR
  • NPI 1770261869
  Medicare reassignment NPD
• Simple Soul Counseling Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Harrison, AR
  • NPI 1164144812
  Medicare reassignment NPD
• Maxus Inc

  dba Arkansas Counseling Associates

  • Mental Health Counselor
  • Newport, AR
  • NPI 1952558264
  NPD (past)
• Ozarks Medical Center

  dba Ozarks Healthcare

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641
  NPD (past)

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

{
    "created_epoch": "1349913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529625600000",
    "number": "1528310752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 W RIDGE AVE",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726013337",
            "telephone_number": "870-577-3163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 E CRANDALL AVE STE B",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726013628",
            "telephone_number": "870-741-8484",
            "fax_number": "870-741-4088"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "823 N Main St",
            "address_purpose": "LOCATION",
            "city": "Harrison",
            "state": "AR",
            "postal_code": "726012914",
            "country_code": "US",
            "telephone_number": "870-741-2960",
            "fax_number": "870-741-2965",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUCK",
        "first_name": "HOLLY",
        "middle_name": "LOIS",
        "name_prefix": "Mrs.",
        "credential": "LPC,NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-11",
        "last_updated": "2018-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P1507078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Y Doering
• Robert C. Doshier, DDS, PA
• Kimberly Rose Drummond, MSN, APRN, AGPCNP-C
• Dubwig Therapy Services, Inc.
• Patricia Lynn Dubwig, OTR
• Matthew Ray Duck
• Geoffrey Lawrence Dunaway, MD
• Chad Duncan, MHPP
• Dealla Duncan
• Robyn Dye, LPC

• Professional Counselor in Harrison, AR
• Providers in Harrison, AR by specialty
• Professional Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.