Individual provider Active NPI

Lori Ann Holman, LMHC

  • Mental Health Counselor
  • Coralville, IA
National Provider Identifier
1528429628
Registry record updated Feb 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
081108 Issued in IA
Practice address
1150 5TH St Ste 270
Coralville, IA 52241-2933
Phone
(319) 804-9312
Fax
(888) 892-7959
NPI assigned
Mar 16, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 081108 IA Primary

Addresses

Primary practice location

1150 5TH St Ste 270
Coralville, IA 52241-2933

Mailing address

1150 5TH St Ste 270
Coralville, IA 52241-2933
Phone (319) 804-9312

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20231221000675 IA Practitioner - Mental Health Counselor 1052672532 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Alli Center LLCGroup PAC ID 9638439128, 12 clinicians

Practice addresses (Care Compare)

1150 5TH St
Suite 270
Coralville, IA 52241-2933
Phone (319) 804-9312

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Alli Center LLC Mental Health CurrentSince Jan 1, 2024 Accepting new patients

Locations

1150 5th St
Ste 268
Coralville, IA 52241
Phone (319) 775-0605

1150 5th St
Ste 290
Coralville, IA 52241
Phone (319) 804-9312

1150 5th St
Ste 270
Iowa City, IA 52241
Phone (319) 804-9312

555 Cameron Way
Unit 2
North Liberty, IA 52317
Phone (319) 800-9046

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": "1458086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519430400000",
    "number": "1528429628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 5TH ST STE 270",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522412933",
            "telephone_number": "319-804-9312",
            "fax_number": "888-892-7959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 5TH ST STE 270",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522412933",
            "telephone_number": "319-804-9312",
            "fax_number": "888-892-7959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMAN",
        "first_name": "LORI",
        "middle_name": "ANN",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-16",
        "last_updated": "2018-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "081108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coralville, IA

Sources for this page

Verify at the official NPI Registry.