Individual provider Active NPI

Rachel Diana Holland, MA, LPC, NCC

  • Mental Health Counselor
  • Peoria, AZ
National Provider Identifier
1811234040
Registry record updated Dec 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
IMH10731 Issued in FL
Practice address
8466 W Peoria Ave Ste 6
Peoria, AZ 85345-6548
Phone
(602) 507-7595
Fax
(602) 429-8154
NPI assigned
Jan 8, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X IMH10731 FL Primary

Addresses

Primary practice location

8466 W Peoria Ave Ste 6
Peoria, AZ 85345-6548

Mailing address

8466 W Peoria Ave Ste 6
Peoria, AZ 85345-6548
Phone (602) 507-7595

Other practice location 1

9210 W Peoria Ave Ste 1
Peoria, AZ 85345-6317
Phone (602) 507-7595

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
IMH10731FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Newlife Counseling Services, LLC Mental Health CurrentSince Dec 15, 2019 Accepting new patients

Locations

9210 W Peoria Ave
Ste 1
Peoria, AZ 85345
Phone (602) 507-7595

8466 W Peoria Ave
Ste 6
Peoria, AZ 85345
Phone (602) 507-7595

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": "1357603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575849600000",
    "number": "1811234040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8466 W PEORIA AVE STE 6",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853456548",
            "telephone_number": "602-507-7595",
            "fax_number": "602-429-8154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8466 W PEORIA AVE STE 6",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853456548",
            "telephone_number": "602-507-7595",
            "fax_number": "602-429-8154"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9210 W Peoria Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "AZ",
            "postal_code": "853456317",
            "country_code": "US",
            "telephone_number": "602-507-7595",
            "fax_number": "602-429-8154",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLLAND",
        "first_name": "RACHEL",
        "middle_name": "DIANA",
        "name_prefix": "Ms.",
        "credential": "MA, LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-08",
        "last_updated": "2019-12-09",
        "certification_date": "2019-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH10731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.