Active NPI
Gwen O Hollinger, MSSW
- Counselor
- Norcross, GA
National Provider Identifier
1639478480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 101Y00000K
- Practice address
- 5030 Georgia Belle CT
Norcross, GA 30093-2667 - Phone
- (770) 638-5760
- NPI assigned
- Mar 18, 2011
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 101Y00000K | GA | Primary |
Addresses
Primary practice location
5030 Georgia Belle CT
Norcross, GA 30093-2667
Mailing address
6011 Hillvale TRL
Lithonia, GA 30058-1874
Phone (770) 856-8032
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101Y00000K | GA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300406400000",
"number": "1639478480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6011 HILLVALE TRL",
"city": "LITHONIA",
"state": "GA",
"postal_code": "300581874",
"telephone_number": "770-856-8032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5030 GEORGIA BELLE CT",
"city": "NORCROSS",
"state": "GA",
"postal_code": "300932667",
"telephone_number": "770-638-5760"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLINGER",
"first_name": "GWEN",
"middle_name": "O",
"name_prefix": "Ms.",
"credential": "MSSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-18",
"last_updated": "2011-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "GA",
"license": "101Y00000K",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norcross, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.