Individual provider Active NPI

Holly R. Counts Vanhoose, PSY.D.

  • Clinical Psychologist
  • Newburyport, MA
National Provider Identifier
1659322949
Registry record updated Jan 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
5320 Issued in OH
Practice address
21 Pleasant St Ste 235
Newburyport, MA 01950-2623
Phone
(802) 359-9139
Fax
(937) 359-3468
NPI assigned
May 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 10904 MA
Clinical Psychologist 103TC0700X 048.0106033 VT
Clinical Psychologist 103TC0700X 5320 OH Primary

Addresses

Primary practice location

21 Pleasant St Ste 235
Newburyport, MA 01950-2623

Mailing address

PO Box 15
Newburyport, MA 01950-0015
Phone (802) 359-9139

Other identifiers 1

IdentifierTypeStateIssuer
1024051MedicaidVT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20190220001832 MA Practitioner - Clinical Psychologist 9931286382 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

21 Pleasant St
Suite 235
Newburyport, MA 01950-2623
Phone (802) 359-9139

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10904MAMDClinical Psychologist
5320OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Blanche E Pearson Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547856000000",
    "number": "1659322949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019500015",
            "telephone_number": "802-359-9139",
            "fax_number": "802-359-3468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 PLEASANT ST STE 235",
            "city": "NEWBURYPORT",
            "state": "MA",
            "postal_code": "019502623",
            "telephone_number": "802-359-9139",
            "fax_number": "937-359-3468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUNTS VANHOOSE",
        "first_name": "HOLLY",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2019-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "10904",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VT",
            "license": "048.0106033",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "5320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1024051",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburyport, MA

Sources for this page

Verify at the official NPI Registry.