Active NPI
Cynthia Ellen Holloway, I.M.F.T., L.P.N.
- Marriage & Family Therapist
- Troy, OH
National Provider Identifier
1528368206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- F1000009
- Practice address
- 1178 Pond View Dr
Troy, OH 45373-7611 - Phone
- (937) 524-4075
- NPI assigned
- Oct 27, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | F1000009 | OH | Primary |
| Licensed Practical Nurse | 164W00000X | PN131155 MEDS | OH |
Addresses
Primary practice location
1178 Pond View Dr
Troy, OH 45373-7611
Mailing address
PO Box 382
Troy, OH 45373-0382
Phone (937) 524-4075
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Law
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F1000009 | OH | MD | Marriage & Family Therapist |
| PN131155 MEDS | OH | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mental Health Specialty Group PA | Current | Accepting new patients |
Locations
800 N High St
Columbus, OH 43215
Phone (631) 540-8225
Organizations & group practices 1
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": "1288137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288137600000",
"number": "1528368206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 382",
"city": "TROY",
"state": "OH",
"postal_code": "453730382",
"telephone_number": "937-524-4075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1178 POND VIEW DR",
"city": "TROY",
"state": "OH",
"postal_code": "453737611",
"telephone_number": "937-524-4075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLOWAY",
"first_name": "CYNTHIA",
"middle_name": "ELLEN",
"name_prefix": "Ms.",
"credential": "I.M.F.T., L.P.N.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-10-27",
"last_updated": "2010-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "OH",
"license": "F1000009",
"primary": true
},
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "OH",
"license": "PN131155 MEDS",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Troy, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2010; 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.