Individual provider Active NPI

Lisa Marie Hollo, MA ATR LPCC-S

  • Professional Counselor
  • North Olmsted, OH
National Provider Identifier
1649578725
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0606006 Issued in OH
Practice address
26777 Lorain Rd Ste 412
North Olmsted, OH 44070-3224
Phone
(404) 707-6195
NPI assigned
Mar 14, 2011
Last updated
Apr 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0600606 OH
Professional Counselor 101YP2500X 0606006 OH Primary

Addresses

Primary practice location

26777 Lorain Rd Ste 412
North Olmsted, OH 44070-3224

Mailing address

1619 Onondaga Ave
Lakewood, OH 44107-4310
Phone (216) 337-1874

Other identifiers 2

IdentifierTypeStateIssuer
0414032MedicaidOH
0211574MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lisa@hollowellcounseling.com Hollowell Counseling LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251016001677 OH Practitioner - Mental Health Counselor 9830686476 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians

Practice addresses (Care Compare)

20 S 3Rd St
Suite 210
Columbus, OH 43215-4206
Phone (866) 630-0966

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
0600606OHMDProfessional Counselor
0606006OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Hollowell Counseling LLC CurrentSince Feb 1, 2021 Accepting new patients
Sondermind Provider Network LLC Professional CurrentSince Sep 1, 2025 Accepting new patients

Locations

20 S 3rd St
Ste 210
Columbus, OH 43215
Phone (614) 208-4973

26777 Lorain Rd
Ste 412
North Olmsted, OH 44070
Phone (216) 801-4656

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1300060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1649578725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1619 ONONDAGA AVE",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441074310",
            "telephone_number": "216-337-1874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26777 LORAIN RD STE 412",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440703224",
            "telephone_number": "404-707-6195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLO",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "credential": "MA ATR LPCC-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-14",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "0600606",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "0606006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0414032",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0211574",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lisa@hollowellcounseling.com",
            "affiliation": "Y",
            "affiliationName": "Hollowell Counseling LLC",
            "address_1": "1619 Onondaga Ave",
            "city": "Lakewood",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441074310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in North Olmsted, OH

Sources for this page

Verify at the official NPI Registry.