Individual provider Active NPI

Gemma Hollmann, LPC

  • Professional Counselor
  • Mountain Home, AR
National Provider Identifier
1740868447
Registry record updated Aug 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
P2308004 Issued in AR
Practice address
1483 Webber Rd
Mountain Home, AR 72653-6938
Phone
(928) 607-5531
NPI assigned
Apr 1, 2021
Last updated
Aug 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X P2308004 AR Primary

Addresses

Primary practice location

1483 Webber Rd
Mountain Home, AR 72653-6938

Mailing address

1483 Webber Rd
Mountain Home, AR 72653-6938
Phone (928) 607-5531

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20240828005037 AR Practitioner - Mental Health Counselor 0749729176 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

115 E 5TH St
Mountain Home, AR 72653-3811
Phone (928) 607-5531

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P2308004ARMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Big Heart Journey Inc Professional CurrentSince Jul 3, 2024 Accepting new patients
Chenal Family Therapy, PLC Mental Health PastSince Mar 1, 2022 Accepting new patients

Locations

115 E 5th St
Mountain Home, AR 72653
Phone (928) 607-5531

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.

NPI Registry JSON

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

{
    "created_epoch": "1617235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1740868447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1483 WEBBER RD",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726536938",
            "telephone_number": "928-607-5531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1483 WEBBER RD",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726536938",
            "telephone_number": "928-607-5531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLMANN",
        "first_name": "GEMMA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-01",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P2308004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain Home, AR

Sources for this page

Verify at the official NPI Registry.