Individual provider Active NPI

Holly Ann Dickinson, LPC

  • Mental Health Counselor
  • Lansing, MI
National Provider Identifier
1700335049
Registry record updated Apr 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6401015594 Issued in MI
Practice address
1029 Woodbine Ave
Lansing, MI 48910-2770
Phone
(517) 214-5551
NPI assigned
Sep 28, 2016
Last updated
Apr 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6401015594 MI Primary

Addresses

Primary practice location

1029 Woodbine Ave
Lansing, MI 48910-2770

Mailing address

1029 Woodbine Ave
Lansing, MI 48910-2770
Phone (517) 214-5551

Other practice location 1

4413 Corunna Rd
Flint, MI 48532-4321
Phone (810) 733-5735

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20240206000403 MI Practitioner - Mental Health Counselor 1658714720 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Independent Behavioral Health GroupGroup PAC ID 1759658966, 6 clinicians

Practice addresses (Care Compare)

4413 Corunna Rd
Flint, MI 48532-4321
Phone (810) 733-5735

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6401015594MIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Independent Behavioral Health Group CurrentSince Jan 1, 2024 Accepting new patients

Locations

4413 Corunna Rd
Flint, MI 48532
Phone (810) 630-1152

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1475020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775779200000",
    "number": "1700335049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1029 WOODBINE AVE",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489102770",
            "telephone_number": "517-214-5551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1029 WOODBINE AVE",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489102770",
            "telephone_number": "517-214-5551"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4413 Corunna Rd",
            "address_purpose": "LOCATION",
            "city": "Flint",
            "state": "MI",
            "postal_code": "485324321",
            "country_code": "US",
            "telephone_number": "810-733-5735",
            "fax_number": "810-733-5733",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DICKINSON",
        "first_name": "HOLLY",
        "middle_name": "ANN",
        "name_prefix": "Miss",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-28",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401015594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.