Active NPI
Yvonne Hole, LCMHC
- Mental Health Counselor
- Boston, MA
National Provider Identifier
1750560603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 5572
- Practice address
- 150 Federal St
Boston, MA 02110-1713 - Phone
- (800) 495-0086
- NPI assigned
- Oct 29, 2007
- Sex
- Female
- 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 | 2125 | NH | |
| Mental Health Counselor | 101YM0800X | 5572 | MA | Primary |
Addresses
Primary practice location
150 Federal St
Boston, MA 02110-1713
Mailing address
59 Cluff Rd
Salem, NH 03079-3365
Phone (603) 898-1617
Other practice location 1
440 Amherst St
Nashua, NH 03063-1225
Phone (603) 889-6147
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5572 | Other | MA | LMHC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
- 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, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
400 Amherst St
Suite 200
Nashua, NH 03063-4223
Phone (603) 889-3553
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2125 | NH | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wanderlust Therapeutic Services, PLLC | Current | Accepting new patients |
Locations
400 Amherst St
Ste 200
Nashua, NH 03063
Phone (603) 205-3623
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 and National Provider Directory roles.
-
- Clinical Social Worker
- Nashua, NH
- NPI 1225659600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609891200000",
"number": "1750560603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "59 CLUFF RD",
"city": "SALEM",
"state": "NH",
"postal_code": "030793365",
"telephone_number": "603-898-1617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 FEDERAL ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021101713",
"telephone_number": "800-495-0086"
}
],
"practiceLocations": [
{
"address_1": "440 Amherst St",
"address_purpose": "LOCATION",
"city": "Nashua",
"state": "NH",
"postal_code": "030631225",
"country_code": "US",
"telephone_number": "603-889-6147",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOLE",
"first_name": "YVONNE",
"credential": "LCMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-29",
"last_updated": "2021-01-06",
"certification_date": "2021-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NH",
"license": "2125",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "5572",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LMHC",
"identifier": "5572",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2021; 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.