Active NPI
Katharine Robinett Holley
- Professional Counselor
- Bozeman, MT
National Provider Identifier
1538179932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 1323
- Practice address
- 2050 Fairway Dr Ste 208
Bozeman, MT 59715-5810 - Phone
- (406) 581-9050
- NPI assigned
- Aug 8, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 1323 | MT | Primary |
Addresses
Primary practice location
2050 Fairway Dr Ste 208
Bozeman, MT 59715-5810
Mailing address
2050 Fairway Dr Ste 208
Bozeman, MT 59715-5810
Phone (406) 581-9050
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000744813 | Other | MT | BCBS PRE-LICENSED PROF |
| 0255374 | Medicaid | MT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241223001090 | MT | Practitioner - Mental Health Counselor | 6709226145 | Practice locations: Bozeman, MT |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2050 Fairway Dr
Suite 208
Bozeman, MT 59715-5810
Phone (406) 585-5846
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1323 | MT | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734912000000",
"number": "1538179932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2050 FAIRWAY DR STE 208",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597155810",
"telephone_number": "406-581-9050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2050 FAIRWAY DR STE 208",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597155810",
"telephone_number": "406-581-9050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLEY",
"first_name": "KATHARINE",
"middle_name": "ROBINETT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-08",
"last_updated": "2024-12-23",
"certification_date": "2024-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MT",
"license": "1323",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PRE-LICENSED PROF",
"identifier": "000744813",
"state": "MT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0255374",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bozeman, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.