Active NPI
James Grant Hollenbach, PCC
- Professional Counselor
- Perrysville, OH
National Provider Identifier
1841521382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- E.0701080
- Practice address
- 771B State Route 97
Perrysville, OH 44864-9501 - Phone
- (419) 606-5046
- Fax
- (419) 994-5145
- NPI assigned
- Jan 22, 2010
- Last updated
- Apr 18, 2012
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | E.0701080 | OH | Primary |
Addresses
Primary practice location
771B State Route 97
Perrysville, OH 44864-9501
Mailing address
771B State Route 97
Perrysville, OH 44864-9501
Phone (419) 606-5046
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
| License | State | Type | Specialty |
|---|---|---|---|
| E.0701080 | OH | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334707200000",
"number": "1841521382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "771B STATE ROUTE 97",
"city": "PERRYSVILLE",
"state": "OH",
"postal_code": "448649501",
"telephone_number": "419-606-5046",
"fax_number": "419-994-5145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "771B STATE ROUTE 97",
"city": "PERRYSVILLE",
"state": "OH",
"postal_code": "448649501",
"telephone_number": "419-606-5046",
"fax_number": "419-994-5145"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLENBACH",
"first_name": "JAMES GRANT",
"credential": "PCC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-01-22",
"last_updated": "2012-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E.0701080",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Perrysville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.