Individual provider Active NPI

Arnitta Holliman, MS, LPC

  • Mental Health Counselor
  • Glendale, WI
National Provider Identifier
1831557065
Registry record updated Dec 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6748-125 Issued in WI
Practice address
6789 N Green Bay Ave # U14
Glendale, WI 53209-3472
Phone
(414) 367-9298
NPI assigned
Feb 2, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2018

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6748-125 WI
Pastoral Counselor 101YP1600X
Professional Counselor 101YP2500X 6748-125 WI
Mental Health Counselor 101YM0800X 6748-125 WI Primary

Addresses

Primary practice location

6789 N Green Bay Ave # U14
Glendale, WI 53209-3472

Mailing address

N91W16015 Junction Way Apt 212
Menomonee Falls, WI 53051-3160
Phone (414) 803-0849

Other practice location 1

N91W16015 Junction Way Apt 212
Menomonee Falls, WI 53051-3160
Phone (414) 803-0849

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 Science

State licenses

LicenseStateTypeSpecialty
6748-125WIMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1454371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545091200000",
    "number": "1831557065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N91W16015 JUNCTION WAY APT 212",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530513160",
            "telephone_number": "414-803-0849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6789 N GREEN BAY AVE # U14",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532093472",
            "telephone_number": "414-367-9298"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "N91W16015 Junction Way Apt 212",
            "address_purpose": "LOCATION",
            "city": "Menomonee Falls",
            "state": "WI",
            "postal_code": "530513160",
            "country_code": "US",
            "telephone_number": "414-803-0849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLLIMAN",
        "first_name": "ARNITTA",
        "name_prefix": "Ms.",
        "credential": "MS, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-02",
        "last_updated": "2018-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WI",
            "license": "6748-125",
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "6748-125",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "6748-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2018; 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.