Individual provider Active NPI

Holly C Smigel, LMHC

  • Mental Health Counselor
  • North Liberty, IA
National Provider Identifier
1720379183
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
001295 Issued in IA
Practice address
555 W Cherry St Ste 3
North Liberty, IA 52317-9800
Phone
(319) 541-7253
NPI assigned
Apr 20, 2011
Last updated
Jun 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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 001295 IA Primary

Addresses

Primary practice location

555 W Cherry St Ste 3
North Liberty, IA 52317-9800

Mailing address

1835 Carroll CT
North Liberty, IA 52317-8637
Phone (319) 541-7253

Other practice location 1

2707 Dubuque St NE
North Liberty, IA 52317-9381
Phone (319) 541-7253

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20240604001919 IA Practitioner - Mental Health Counselor 9638611890 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Journey Counseling Services LLC CurrentSince May 21, 2024 Accepting new patients

Locations

1290 W Forevergreen Rd
North Liberty, IA 52317

2707 Dubuque St NE
North Liberty, IA 52317
Phone (319) 541-7253

555 W Cherry St
Ste 3
North Liberty, IA 52317
Phone (319) 541-7253

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": "1303257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1720379183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1835 CARROLL CT",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523178637",
            "telephone_number": "319-541-7253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 W CHERRY ST STE 3",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523179800",
            "telephone_number": "319-541-7253"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2707 Dubuque St NE",
            "address_purpose": "LOCATION",
            "city": "North Liberty",
            "state": "IA",
            "postal_code": "523179381",
            "country_code": "US",
            "telephone_number": "319-541-7253",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMIGEL",
        "first_name": "HOLLY",
        "middle_name": "C",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-20",
        "last_updated": "2024-06-04",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "001295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Liberty, IA

Sources for this page

Verify at the official NPI Registry.