Active NPI
Holly J West, L.P.C./MHSP
- Professional Counselor
- Lebanon, TN
National Provider Identifier
1760673727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC0000002579
- Practice address
- 1432 W Main St
Suite 402
Lebanon, TN 37087-1323 - Phone
- (615) 444-1880
- NPI assigned
- Aug 6, 2007
- Last updated
- Nov 16, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC0000002579 | TN | Primary |
| Case Manager/Care Coordinator | 171M00000X | NU |
Addresses
Primary practice location
1432 W Main St
Suite 402
Lebanon, TN 37087-1323
Mailing address
191 Green Hill Rd
Pleasant Shade, TN 37145-3342
Phone (615) 774-3223
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3376955 | Other | TN | GROUP MEDICARE |
Other names 1
- Holly J Hamilton
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC0000002579 | TN | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Behavioral Consultants | Professional | Past | Accepting new patients |
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.
-
- Child & Adolescent Psychiatry Physician
- Lebanon, TN
- NPI 1932417383
Professional
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289865600000",
"number": "1760673727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "191 GREEN HILL RD",
"city": "PLEASANT SHADE",
"state": "TN",
"postal_code": "371453342",
"telephone_number": "615-774-3223",
"fax_number": "615-774-3223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1432 W MAIN ST",
"address_2": "SUITE 402",
"city": "LEBANON",
"state": "TN",
"postal_code": "370871323",
"telephone_number": "615-444-1880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEST",
"first_name": "HOLLY",
"middle_name": "J",
"credential": "L.P.C./MHSP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-06",
"last_updated": "2010-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TN",
"license": "LPC0000002579",
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP MEDICARE",
"identifier": "3376955",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "HOLLY",
"last_name": "HAMILTON",
"middle_name": "J",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Lebanon, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.