Active NPI
Lynn Nolan Hollingshead
- Mental Health Counselor
- Orem, UT
National Provider Identifier
1710225024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 9045588-6004
- Practice address
- 853 W Center St
Orem, UT 84057-5201 - Phone
- (801) 206-4200
- NPI assigned
- Jan 21, 2013
- Last updated
- Jan 6, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 9045588-6004 | UT | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
853 W Center St
Orem, UT 84057-5201
Mailing address
750 N Freedom Blvd
Provo, UT 84601-1677
Phone (801) 373-4760
Other practice location 1
285 N 1250 E
Payson, UT 84651-5794
Phone (801) 852-3805
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
750 N 200
Provo, UT 84601-1677
Phone (801) 373-4760
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9045588-6004 | UT | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wasatch Behavioral Health Special Service District | Mental Health | Current | Accepting new patients |
| Wasatch Behavioral Health Special Service District | Current | Accepting new patients |
Locations
750 N Freedom Blvd
Provo, UT 84601
Phone (801) 373-0639
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Provo, UT
- NPI 1356357115
Mental Health
-
- Clinical Medical Laboratory
- Orem, UT
- NPI 1669257556
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767657600000",
"number": "1710225024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "750 N FREEDOM BLVD",
"city": "PROVO",
"state": "UT",
"postal_code": "846011677",
"telephone_number": "801-373-4760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "853 W CENTER ST",
"city": "OREM",
"state": "UT",
"postal_code": "840575201",
"telephone_number": "801-206-4200"
}
],
"practiceLocations": [
{
"address_1": "285 N 1250 E",
"address_purpose": "LOCATION",
"city": "Payson",
"state": "UT",
"postal_code": "846515794",
"country_code": "US",
"telephone_number": "801-852-3805",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOLLINGSHEAD",
"first_name": "LYNN",
"middle_name": "NOLAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-01-21",
"last_updated": "2026-01-06",
"certification_date": "2026-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "UT",
"license": "9045588-6004",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orem, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.