Michael James Hollingsworth, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LCPC-6521 Issued in ID

Practice address

403 W Cherry LN
Meridian, ID 83642-1610

Phone

(208) 887-1911

NPI assigned

Mar 6, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Previously, effective Aug 21, 2024 through Aug 21, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1204761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649635200000",
    "number": "1609046598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 MARIKA RD",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997095521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 W CHERRY LN",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836421610",
            "telephone_number": "208-887-1911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLINGSWORTH",
        "first_name": "MICHAEL",
        "middle_name": "JAMES",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-06",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "LCPC-6521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.michaelhollingsworthlcpc.com/",
            "affiliation": "N",
            "address_1": "403 W Cherry Ln",
            "city": "Meridian",
            "state": "ID",
            "country_code": "US",
            "postal_code": "836421610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Katherine Hole, LMSW
• Danica Holladay, LPC
• Lari K Holladay, LCSW
• Aspen Holland, MA
• Robert E. Holland Jr., MD
• Julianne Hollist, NP-C
• Jonathan Holm, LCSW
• Alyssa Victoria Holmes, PHARMD
• Donna Zenobia Holmes, LM, CPM
• Kiley Zellitti Holmes, DPT

• Professional Counselor in Meridian, ID
• Providers in Meridian, ID by specialty
• Professional Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.