Active NPI
Mickie Holland, LPCC, LBSW
- School Psychologist
- Hobbs, NM
National Provider Identifier
1679642375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 280435
- Practice address
- 920 W Broadway St
Hobbs, NM 88240-5529 - Phone
- (505) 393-3168
- Fax
- (505) 397-4659
- NPI assigned
- Nov 7, 2006
- Last updated
- Sep 11, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 006101 | NM | |
| School Psychologist | 103TS0200X | 280435 | NM | Primary |
| Social Worker | 104100000X | B0424 | NM |
Addresses
Primary practice location
920 W Broadway St
Hobbs, NM 88240-5529
Mailing address
920 W Broadway St
Hobbs, NM 88240-5529
Phone (505) 393-3168
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 46300 | Medicaid | NM |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 006101 | NM | MD | Professional Counselor |
| 280435 | NM | MD | School Psychologist |
| B0424 | NM | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1679642375",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "920 W BROADWAY ST",
"city": "HOBBS",
"state": "NM",
"postal_code": "882405529",
"telephone_number": "505-393-3168",
"fax_number": "505-397-4659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 W BROADWAY ST",
"city": "HOBBS",
"state": "NM",
"postal_code": "882405529",
"telephone_number": "505-393-3168",
"fax_number": "505-397-4659"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLAND",
"first_name": "MICKIE",
"credential": "LPCC, LBSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-07",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NM",
"license": "006101",
"primary": false
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "NM",
"license": "280435",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NM",
"license": "B0424",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "46300",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hobbs, NM
- Prisella Ann Hodge
- Alicia Holcomb
- Anna Maria Holguin, PHARMD
- Keith Holguin, PHARMD
- Ernest Holland, LMFT, LMSW
- Yolanda Lynn Holt
- Home Medical Equipment Specialists, LLC (HME Specialists, LLC)
- Nindi F Honeyman, LMHC, LADAC
- Horace E. Ross, D.D.S.,P.C.
- Hospitalist Medicine Physicians of New Mexico - Clovis, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.