Individual provider Active NPI

Catherine M Holland, MA, LPC, LMHC

  • Professional Counselor
  • Brevard, NC
National Provider Identifier
1720016454
Registry record updated Mar 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5316 Issued in NC
Practice address
259 N Broad St
Suite 9
Brevard, NC 28712-4504
Phone
(828) 890-8340
Fax
(828) 890-8340
NPI assigned
Jun 29, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 7133 FL
Professional Counselor 101YP2500X 5316 NC Primary

Addresses

Primary practice location

259 N Broad St
Suite 9
Brevard, NC 28712-4504

Mailing address

25 Sunset View Dr
Horse Shoe, NC 28742-7764
Phone (828) 890-8340

Other identifiers 1

IdentifierTypeStateIssuer
6103586MedicaidNC

Other names 1

  • Catherine M Johnson Former name

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
7133FLMDMental Health Counselor
5316NCMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459209600000",
    "number": "1720016454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 SUNSET VIEW DR",
            "city": "HORSE SHOE",
            "state": "NC",
            "postal_code": "287427764",
            "telephone_number": "828-890-8340",
            "fax_number": "828-890-8340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 N BROAD ST",
            "address_2": "SUITE 9",
            "city": "BREVARD",
            "state": "NC",
            "postal_code": "287124504",
            "telephone_number": "828-890-8340",
            "fax_number": "828-890-8340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLAND",
        "first_name": "CATHERINE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "MA, LPC, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-29",
        "last_updated": "2016-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "7133",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "5316",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6103586",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CATHERINE",
            "last_name": "JOHNSON",
            "middle_name": "M",
            "credential": "LPC, LMHC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brevard, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2016; 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.