Deirdre Holladay, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

P2011102 Issued in AR

Practice address

201 S Rose St
Sheridan, AR 72150-2451

Phone

(870) 917-2171

Fax

(870) 917-2161

NPI assigned

Jul 30, 2021

Last updated

Jul 30, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Specialty

Mental Health Counselor

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• BHC Pinnacle Pointe Hospital

  dba The Pointe Outpatient Behavioral Health Services/The Pointe-Sheridan

  • Adolescent and Children Mental Health Clinic/Center
  • Sheridan, AR
  • NPI 1154594380
  NPD (past)
• BHC Pinnacle Pointe Hospital LLC

  dba Pinnacle Pointe Hospital

  • Psychiatric Hospital
  • Little Rock, AR
  • NPI 1912962341
  NPD (past)

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

{
    "created_epoch": "1627603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627603200000",
    "number": "1790458198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S ROSE ST",
            "city": "SHERIDAN",
            "state": "AR",
            "postal_code": "721502451",
            "telephone_number": "870-917-2171",
            "fax_number": "870-917-2161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S ROSE ST",
            "city": "SHERIDAN",
            "state": "AR",
            "postal_code": "721502451",
            "telephone_number": "870-917-2171",
            "fax_number": "870-917-2161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLADAY",
        "first_name": "DEIRDRE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-30",
        "last_updated": "2021-07-30",
        "certification_date": "2021-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "P2011102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Higginbotham, LPC
• Elizabeth Higgins
• William Artis Highsmith, M.D.
• Ashton Paige Hill
• Martha Victoria Hobson, APRN
• Sarah Grace Holloway, OTD, OTR/L
• Home Care Professionals of Arkansas
• Independent Mobility Enterprises
• Katheryn James, MHPP
• Jefferson Management Service Inc (Sheridan Medical Association)

• Mental Health Counselor in Sheridan, AR
• Providers in Sheridan, AR by specialty
• Mental Health Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.

Verify at the official NPI Registry.