Individual provider Active NPI

Cynthia Ellen Holloway, I.M.F.T., L.P.N.

  • Marriage & Family Therapist
  • Troy, OH
National Provider Identifier
1528368206
Registry record updated Oct 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
F1000009 Issued in OH
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

Updated by the provider on Oct 27, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250320000794 OH Practitioner - Marriage and Family Therapist 8224550199 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Law

State licenses

LicenseStateTypeSpecialty
F1000009OHMDMarriage & Family Therapist
PN131155 MEDSOHMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Specialty Group PA CurrentSince Mar 11, 2025 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

Verify at the official NPI Registry.