Individual provider Active NPI

Holly Anne Pilarski, LADC

  • Addiction (Substance Use Disorder) Counselor
  • Saint Cloud, MN
National Provider Identifier
1649989047
Registry record updated Nov 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
306069 Issued in MN
Practice address
1420 W Saint Germain St Ste 104105
Saint Cloud, MN 56301-4156
Phone
(320) 314-1200
Fax
(320) 314-1497
NPI assigned
Nov 15, 2022
Last updated
Nov 15, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 306069 MN Primary

Addresses

Primary practice location

1420 W Saint Germain St Ste 104105
Saint Cloud, MN 56301-4156

Mailing address

1420 W Saint Germain St Ste 104105
Saint Cloud, MN 56301-4156
Phone (320) 314-1200

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

LicenseStateTypeSpecialty
306069MNMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Nu-Way House Inc PastSince Nov 20, 2022 Accepting new patients

Organizations & group practices 1

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": "1668470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1649989047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 W SAINT GERMAIN ST STE 104105",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563014156",
            "telephone_number": "320-314-1200",
            "fax_number": "320-314-1497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 W SAINT GERMAIN ST STE 104105",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563014156",
            "telephone_number": "320-314-1200",
            "fax_number": "320-314-1497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PILARSKI",
        "first_name": "HOLLY",
        "middle_name": "ANNE",
        "credential": "LADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-15",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "306069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; 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.