Chad R. Hollenbaugh, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

68050 Issued in TX

Practice address

1630 S Brownlee Blvd
Corpus Christi, TX 78404-3134

Phone

(361) 886-6900

NPI assigned

Dec 12, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Mental Health Counselor

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Coastal Bend Psychological AssociatesGroup PAC ID 6901122183, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Nova Vita Mental Wellness Center

  • Mental Health Counselor
  • Houston, TX
  • NPI 1013742634
  Medicare reassignment NPD
• Coastal Bend Psychological Associates

  • Clinical Psychologist
  • Corpus Christi, TX
  • NPI 1851719751

  Mental Health

  Care Compare group NPD

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

{
    "created_epoch": "1323648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323648000000",
    "number": "1841568334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 S BROWNLEE BLVD",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784043134",
            "telephone_number": "361-886-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 S BROWNLEE BLVD",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784043134",
            "telephone_number": "361-886-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLENBAUGH",
        "first_name": "CHAD",
        "middle_name": "R.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-12-12",
        "last_updated": "2011-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "68050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC LICENSE",
            "identifier": "68050",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jon W Hoffman
• Katherine Elizabeth Hoffman, DO
• Laurie Jane Hoffman
• Steven V Hoffman
• Holdings of Spinecare, LLC
• Andrea Louise Holley, FNP
• Cody Lee Holliman, CRNA
• Merissa Ann Hollingsworth, D.C.
• Thomas Raymond Hollingsworth III, DC
• Norma Liza Hollister, APRN,FNP-C,CDCES

• Mental Health Counselor in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2011; 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.

Verify at the official NPI Registry.