Individual provider Active NPI

Yvonne Hole, LCMHC

  • Mental Health Counselor
  • Boston, MA
National Provider Identifier
1750560603
Registry record updated Jan 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
5572 Issued in MA
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

Updated by the provider on Jan 6, 2021

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 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

IdentifierTypeStateIssuer
5572OtherMALMHC

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240208000807 NH Practitioner - Mental Health Counselor 0446693386 Reassigns benefits to 1 organization

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
Wanderlust Therapeutic Services PLLCGroup PAC ID 7012322753, 13 clinicians

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

LicenseStateTypeSpecialty
2125NHMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wanderlust Therapeutic Services, PLLC CurrentSince Jan 25, 2024 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.

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

Verify at the official NPI Registry.