Matthew M Hollo, LPCC-S

Primary specialty

CounselorTaxonomy code 101Y00000X

License

E.0600346 Issued in OH

Practice address

8081 Adams Ridge Rd
Defiance, OH 43512-9173

Phone

(419) 239-2113

Fax

(419) 239-2113

NPI assigned

Nov 12, 2009

Last updated

Oct 12, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

Practice roles

Locations

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.

• Deep Roots Wellness, LLC

  • Mental Health Counselor
  • Defiance, OH
  • NPI 1942799515

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1257984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602460800000",
    "number": "1629305586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 WESTFIELD AVE",
            "city": "DEFIANCE",
            "state": "OH",
            "postal_code": "435121433",
            "telephone_number": "419-239-2113",
            "fax_number": "419-239-2113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8081 ADAMS RIDGE RD",
            "city": "DEFIANCE",
            "state": "OH",
            "postal_code": "435129173",
            "telephone_number": "419-239-2113",
            "fax_number": "419-239-2113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLO",
        "first_name": "MATTHEW",
        "middle_name": "M",
        "credential": "LPCC-S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-11-12",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.0600346",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "OH",
            "license": "E.0600346",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0157085",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aubree Hite, CDCA
• Sarah Hoffer
• Abbey Hoffman
• Jacqueline R Hogan, MSN, CNP
• Jennifer Marie Hohlbein, LPN
• Roseanna Leah Hollo, BCND
• Kathy Williams Homier, LSW LPCC
• Taryn Homier, PHARMD
• Lindsay Marie Hoops, CNP
• Hopeful Beginnings LLC (None)

• Counselor in Defiance, OH
• Providers in Defiance, OH by specialty
• Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.