Holly Hartson-Bowyer, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810005581 Issued in VA

Practice address

139 Ferrum Dr
Salem, VA 24153-7123

Phone

(703) 249-5160

NPI assigned

Jan 29, 2007

Last updated

Jun 21, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Iyh I LLC

  dba LifeBridge Counseling

  • Professional Counselor
  • Roanoke, VA
  • NPI 1609448927

  Psychologist

  Medicare reassignment NPD
• Finding Clarity

  • Clinical Social Worker
  • Alexandria, VA
  • NPI 1174060628
  NPD

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1801932900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 S WHITING ST STE 312",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223043632",
            "telephone_number": "703-249-5160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 FERRUM DR",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241537123",
            "telephone_number": "703-249-5160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTSON-BOWYER",
        "first_name": "HOLLY",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY18658",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810005581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hart Counseling Services LLC
• James Gehret Hart, LCSW
• Laura Derk Hart, PA-C
• Ayla Louise Hartless, CD-L, TMBE
• Sarah Lucas Hartley, PH.D.
• Gregory Todd Harvey, DMD
• Justin Harvey, MD
• Alia Hasan, MD
• Juanita D Haskins, LMHP
• Sara Hatcher

• Clinical Psychologist in Salem, VA
• Providers in Salem, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.