Individual provider Active NPI

Holly Pittaway, M.A. M.S

  • Mental Health Counselor
  • Irvine, CA
National Provider Identifier
1831879030
Registry record updated Jul 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
140204 Issued in CA
Practice address
111 Pacifica Ste 270
Irvine, CA 92618-7427
Phone
(949) 216-0234
NPI assigned
Jul 21, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2023

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 140204 CA Primary

Addresses

Primary practice location

111 Pacifica Ste 270
Irvine, CA 92618-7427

Mailing address

PO Box 4211
Dana Point, CA 92629-9211
Phone (949) 228-5106

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20260206001065 CA Practitioner - Marriage and Family Therapist 7416436878 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

19322 Jesse LN
Suite 200
Riverside, CA 92508-5072

2730 Wrangler Cir
Corona, CA 92882-6809

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Master of Science

State licenses

LicenseStateTypeSpecialty
140204CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Family Talk Therapy Center CurrentSince Jan 22, 2026 Accepting new patients

Locations

19322 Jesse Ln
Ste 200
Riverside, CA 92508
Phone (951) 387-4040

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": "1689897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689897600000",
    "number": "1831879030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4211",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926299211",
            "telephone_number": "949-228-5106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 PACIFICA STE 270",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926187427",
            "telephone_number": "949-216-0234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITTAWAY",
        "first_name": "HOLLY",
        "credential": "M.A. M.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-21",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "140204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

Verify at the official NPI Registry.