Individual provider Active NPI

Holly Pierce, LCSW

  • Behavior Analyst
  • Pahoa, HI
National Provider Identifier
1821334335
Registry record updated Dec 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
16-2463 Ainaloa Dr
Pahoa, HI 96778-7558
Phone
(916) 370-5266
Fax
(916) 370-5266
NPI assigned
Jan 2, 2013
Last updated
Dec 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 5252 HI
Clinical Social Worker 1041C0700X 111681 CA
Clinical Social Worker 1041C0700X L-15864 OR
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

16-2463 Ainaloa Dr
Pahoa, HI 96778-7558

Mailing address

15-2660 Pahoa Village Rd # 203-672
Pahoa, HI 96778-6720
Phone (916) 370-5266

Other practice location 1

6332 Belva Way
North Highlands, CA 95660-4340
Phone (916) 370-5266

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

LicenseStateTypeSpecialty
111681CAMDClinical Social Worker
5252HIMDClinical Social Worker
L-15864ORMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
All-Phases Consultations LLC Clinical CurrentSince Oct 13, 2024 Accepting new patients

Locations

15-2660 Pahoa Village Rd
#203672
Pahoa, HI 96778

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.

NPI Registry JSON

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

{
    "created_epoch": "1357084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734652800000",
    "number": "1821334335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15-2660 PAHOA VILLAGE RD # 203-672",
            "city": "PAHOA",
            "state": "HI",
            "postal_code": "967786720",
            "telephone_number": "916-370-5266",
            "fax_number": "916-370-5266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16-2463 AINALOA DR",
            "city": "PAHOA",
            "state": "HI",
            "postal_code": "967787558",
            "telephone_number": "916-370-5266",
            "fax_number": "916-370-5266"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6332 Belva Way",
            "address_purpose": "LOCATION",
            "city": "North Highlands",
            "state": "CA",
            "postal_code": "956604340",
            "country_code": "US",
            "telephone_number": "916-370-5266",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIERCE",
        "first_name": "HOLLY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-02",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "5252",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "111681",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L-15864",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pahoa, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2024; 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.