Holland Blackstock, PHD, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

11433 Issued in OK

Practice address

8000 Offenhauser Dr
Apt 8C
Reno, NV 89511

Phone

(775) 314-9697

NPI assigned

Jun 1, 2018

Last updated

Oct 21, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Hollie Blackstock Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Cultivate Education Corporation

  dba Cultivate Behavioral Health and Education

  • Behavior Analyst
  • Overland Park, KS
  • NPI 1154797900
  NPD (past)

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

{
    "created_epoch": "1527811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792540800000",
    "number": "1669964045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5150 MAE ANNE AVE STE 405",
            "address_2": "#5356",
            "city": "RENO",
            "state": "NV",
            "postal_code": "89523",
            "telephone_number": "775-314-9697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 OFFENHAUSER DR",
            "address_2": "APT 8C",
            "city": "RENO",
            "state": "NV",
            "postal_code": "89511",
            "telephone_number": "775-314-9697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKSTOCK",
        "first_name": "HOLLAND",
        "name_prefix": "Dr.",
        "credential": "PHD, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-01",
        "last_updated": "2026-10-21",
        "certification_date": "2026-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NV",
            "license": "CP6458R",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "11433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HOLLIE",
            "last_name": "BLACKSTOCK",
            "credential": "MA, LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Aaron V Blackham, LCSW
• Bret S Blackhart, M.D.
• Raeven Blackman-Shipp
• Kimberly Blackmore
• Arcelia Blackowl
• Alison Lee Blackwood
• Sierra Blair
• Tracy Lee Blair, BA
• Wendy Blair, REGISTERED NURSE
• Delia Blaisdell

• Professional Counselor in Reno, NV
• Providers in Reno, NV by specialty
• Professional Counselor in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2026; 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.