Holley Fenn, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

4638 Issued in AL

Practice address

29 Owen Cir Unit A2
Heflin, AL 36264-1119

Phone

(256) 452-8272

NPI assigned

Feb 6, 2020

Last updated

Aug 25, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Opted out of Medicare

Yes, effective May 9, 2025 through May 9, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Garrett Counseling and Consulting

  • Professional Counselor
  • Jacksonville, AL
  • NPI 1295000503
  NPD (past)

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

{
    "created_epoch": "1580947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1528690666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 591",
            "city": "HEFLIN",
            "state": "AL",
            "postal_code": "362640591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 OWEN CIR UNIT A2",
            "city": "HEFLIN",
            "state": "AL",
            "postal_code": "362641119",
            "telephone_number": "256-452-8272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENN",
        "first_name": "HOLLEY",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-06",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "C3441A",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "4638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Del Giudice, LICSW
• Durable Medical Equipment, Inc (Bowdon Homecare)
• Elite Rehab Heflin LLC
• Essential Living LLC
• Family Pharmacy, Inc (Wright Drug Company)
• Fuller Counseling and Educational Resources LLC (Fuller Life Counseling)
• Tiffany Rose Fuller, ALC
• Mark J. Hammock, D.C.
• Michelle Henderson, RNFA, CNOR, RN
• Donna Lynn Hubbard, CRNP

• Mental Health Counselor in Heflin, AL
• Providers in Heflin, AL by specialty
• Mental Health Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.