Active NPI
Olivia R Holiday, LPCC
- Professional Counselor
- Kenton, OH
National Provider Identifier
1700207131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- E1200520
- Practice address
- 200 Harding Ave
Kenton, OH 43326-1669 - Phone
- (419) 679-5994
- Fax
- (419) 225-8878
- NPI assigned
- Jan 3, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | E1200520 | OH | Primary |
Addresses
Primary practice location
200 Harding Ave
Kenton, OH 43326-1669
Mailing address
125 Autumn Haze LN
Kenton, OH 43326-1449
Phone (740) 350-7275
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E1200520 | OH | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1388707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1517356800000",
"number": "1700207131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 AUTUMN HAZE LN",
"city": "KENTON",
"state": "OH",
"postal_code": "433261449",
"telephone_number": "740-350-7275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 HARDING AVE",
"city": "KENTON",
"state": "OH",
"postal_code": "433261669",
"telephone_number": "419-679-5994",
"fax_number": "419-225-8878"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLIDAY",
"first_name": "OLIVIA",
"middle_name": "R",
"credential": "LPCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-03",
"last_updated": "2018-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E1200520",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kenton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.