Holly'S Holistic Health

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

HOLLY'S HOLISTIC HEALTH

Practice address

10431 Kile Rd
Chardon, OH 44024-9582

Phone

(440) 221-9969

NPI assigned

Apr 19, 2023

Organization subpart

No

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

Authorized official

Name

Holly Johnson, PMHNP-BCNPI 1174115455

Title

Owner

Phone

(440) 221-9969

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Holly Lynn Johnson

  • Psychiatric/Mental Health Nurse Practitioner
  • Mentor, OH
  • NPI 1174115455
  NPD Authorized official

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

{
    "created_epoch": "1681862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681862400000",
    "number": "1649967746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10431 KILE RD",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440249582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10431 KILE RD",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440249582",
            "telephone_number": "440-221-9969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLY'S HOLISTIC HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-19",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-221-9969",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caryn Hoang, PA-C
• Mindy Hoang, DO
• Janice Hoffmann, RN
• Brianna Holl
• Kimberly Hollinger, R.N.
• Melissa Rae Holt, LPN
• Jodi A Honkala, M.A., CCC-SLP
• Searra Hough, RDN, LD, MND
• Clementine Elizabeth Houghton
• Ahmad Houry, MD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Chardon, OH
• Providers in Chardon, OH by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.