Deidre Hollister, LMSW, LIMHP, LMHP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

3131 Issued in NE

Practice address

3710 Central Ave Ste 4
Kearney, NE 68847-8126

Phone

(402) 796-1717

Fax

(844) 909-4769

NPI assigned

Jan 13, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Deidre Isaac Former name

Medicare fee-for-service enrollment

Enrolled in NE

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

Specialty

Clinical Social Worker

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Growth on the Plains, LLC

  • Clinical Social Worker
  • Kearney, NE
  • NPI 1922719186
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1578873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1811537376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3710 CENTRAL AVE STE 4",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688478126",
            "telephone_number": "402-796-1717",
            "fax_number": "844-909-4769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3710 CENTRAL AVE STE 4",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688478126",
            "telephone_number": "402-796-1717",
            "fax_number": "844-909-4769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLISTER",
        "first_name": "DEIDRE",
        "credential": "LMSW, LIMHP, LMHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-13",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "5248",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": "1803",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "3131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEIDRE",
            "last_name": "ISAAC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jennifer Hoffart
• Lyn Hoffman
• Elizabeth Hoffmann
• Jennifer Ann Hogue, PHARMD.
• Sue Holliday, APRN
• Kinley Joelle Holm
• Dana Lynn Holman
• Douglas R Holmes, DDS
• Isaac Holmes
• Hope, Health, & Balance Counseling LLC

• Mental Health Counselor in Kearney, NE
• Providers in Kearney, NE by specialty
• Mental Health Counselor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.
• 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.