Organization Active NPI

Hollins Counseling Services Inc

  • Professional Counselor
  • Huber Heights, OH
National Provider Identifier
1730560624
Registry record updated Jun 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E0001467 Issued in OH
Legal business name
HOLLINS COUNSELING SERVICES INC
Practice address
6371 Kittyhawk Commons Blvd
Huber Heights, OH 45424-4043
Phone
(937) 237-0071
Fax
(937) 237-0782
NPI assigned
Jun 16, 2015
Last updated
Jun 16, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
JOHN E. HOLLINS, JRAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 16, 2015

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

Authorized official

Name
Mr. John Earl Hollins Jr., LPCC-SC; CCMHC
Title
Ceo/Owner/Mental Health Counselor
Phone
(937) 237-0071

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X E0001467 OH Primary

Addresses

Primary practice location

6371 Kittyhawk Commons Blvd
Huber Heights, OH 45424-4043

Mailing address

6371 Kittyhawk Commons Blvd
P.O. Box 24264
Huber Heights, OH 45424-4043
Phone (937) 237-0071

Other identifiers 1

IdentifierTypeStateIssuer
2335164MedicaidOH

National Provider Directory

National Provider Directory
Part of
Hollins Counseling Services Inc

Locations

6371 Kittyhawk Commons Blvd
Huber Heights, OH 45424
Phone (937) 237-0071

NPI Registry JSON

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

{
    "created_epoch": "1434412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434412800000",
    "number": "1730560624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6371 KITTYHAWK COMMONS BLVD",
            "address_2": "P.O. BOX 24264",
            "city": "HUBER HEIGHTS",
            "state": "OH",
            "postal_code": "454244043",
            "telephone_number": "937-237-0071",
            "fax_number": "937-237-0782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6371 KITTYHAWK COMMONS BLVD",
            "city": "HUBER HEIGHTS",
            "state": "OH",
            "postal_code": "454244043",
            "telephone_number": "937-237-0071",
            "fax_number": "937-237-0782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLINS COUNSELING SERVICES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JOHN E. HOLLINS, JR",
        "enumeration_date": "2015-06-16",
        "last_updated": "2015-06-16",
        "status": "A",
        "authorized_official_last_name": "HOLLINS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "CEO/OWNER/MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "937-237-0071",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "LPCC-SC; CCMHC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E0001467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2335164",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huber Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2015; 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.