Joshua Kermit Hollingsworth, M.A

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2921 Issued in MS

Practice address

5740 Getwell Rd Ste D
Southaven, MS 38672-6346

Phone

(601) 790-0583

NPI assigned

Jul 21, 2009

Last updated

Jul 3, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1248134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719964800000",
    "number": "1689804908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5703 BEDFORD LOOP E",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386727534",
            "telephone_number": "530-220-3643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5740 GETWELL RD STE D",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386726346",
            "telephone_number": "601-790-0583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLINGSWORTH",
        "first_name": "JOSHUA",
        "middle_name": "KERMIT",
        "name_prefix": "Mr.",
        "credential": "M.A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-21",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MS",
            "license": "2921",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "60105",
            "primary": false
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL",
            "identifier": "7368",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL",
            "identifier": "7184",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL",
            "identifier": "7708",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL",
            "identifier": "2921",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL",
            "identifier": "7667",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Holland Initiative, Inc.
• April A Holland, LPC
• Peyton G Holland, BCBA
• Penny Marie Holley, FNP
• Alane Furlotte Holliday, D.D.S.
• Erica P Holmes, EDD, LPC
• Home Care Solutions, Inc.
• David A Hooker, M.D.
• Phillip A Hooker, OD
• Tony Dee Hooker, DDS

• Mental Health Counselor in Southaven, MS
• Providers in Southaven, MS by specialty
• Mental Health Counselor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; 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.