Active NPI
Sjana Holloway
- Mental Health Counselor
- Bronx, NY
National Provider Identifier
1821876053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 004090
- Practice address
- 30 Pilot St Apt 5H
Bronx, NY 10464-1632 - Phone
- (718) 885-2282
- NPI assigned
- Sep 19, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 004090 | NY | Primary |
Addresses
Primary practice location
30 Pilot St Apt 5H
Bronx, NY 10464-1632
Mailing address
30 Pilot St Apt 5H
Bronx, NY 10464-1632
Other practice location 1
3635 Bell Blvd Ste 203
Bayside, NY 11361-2097
Phone (718) 504-9256
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3635 Bell Blvd
Suite 203
Bayside, NY 11361-2097
Phone (718) 830-0246
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004090 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Counseling LCSW, PLLC | Mental Health | Current | Accepting new patients |
Locations
2 Main St
Ste 2A
Plymouth, MA 02360
3635 Bell Blvd
Ste 203
Bayside, NY 11361
Phone (718) 504-9256
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": "1695081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756339200000",
"number": "1821876053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 PILOT ST APT 5H",
"city": "BRONX",
"state": "NY",
"postal_code": "104641632"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 PILOT ST APT 5H",
"city": "BRONX",
"state": "NY",
"postal_code": "104641632",
"telephone_number": "718-885-2282"
}
],
"practiceLocations": [
{
"address_1": "3635 Bell Blvd Ste 203",
"address_purpose": "LOCATION",
"city": "Bayside",
"state": "NY",
"postal_code": "113612097",
"country_code": "US",
"telephone_number": "718-504-9256",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOLLOWAY",
"first_name": "SJANA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-09-19",
"last_updated": "2025-08-28",
"certification_date": "2025-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "004090",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2025; 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.