Mary Nancy Hollis

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

117 Church Rd
Winnetka, IL 60093-3903

Phone

(415) 624-5796

NPI assigned

Feb 4, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Inclusive Insight Psychotherapy & Consulting

  • Community/Behavioral Health Agency
  • Chicago, IL
  • NPI 1407381064
  NPD

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

{
    "created_epoch": "1612396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612396800000",
    "number": "1639761323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 CHURCH RD",
            "city": "WINNETKA",
            "state": "IL",
            "postal_code": "600933903",
            "telephone_number": "415-624-5796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 CHURCH RD",
            "city": "WINNETKA",
            "state": "IL",
            "postal_code": "600933903",
            "telephone_number": "415-624-5796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLIS",
        "first_name": "MARY",
        "middle_name": "NANCY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-04",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Hendon, LPC
• Lail L. Herman, PH.D
• HM Pharmacy of Winnetka Incorporated (Conneys Pharmacy)
• HM Pharmacy of Winnetka Incorporated (Conneys Pharmacy LTC)
• Sally Jane Hoit, PSY.D.
• Briton Edward Holmberg, LCSW
• Hubbard Woods Dental Group
• Industrial Optical Service, Inc (Spex)
• Mark Jacobs, PHARM D
• Steven M Jaharis, MD

• Mental Health Counselor in Winnetka, IL
• Providers in Winnetka, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.