Terry Lynn Holloway

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CP60979601 Issued in WA

Practice address

2232 S Silver Lake Rd
Castle Rock, WA 98611-8021

Phone

(360) 274-3262

Fax

(360) 274-3345

NPI assigned

Oct 28, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Cowlitz Family Health Center

  • Substance Abuse Rehabilitation Facility
  • Castle Rock, WA
  • NPI 1972726867
  NPD (past)

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

{
    "created_epoch": "1572220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711065600000",
    "number": "1851934343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1057 12TH AVE",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986322509",
            "telephone_number": "360-232-8400",
            "fax_number": "360-232-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2232 S SILVER LAKE RD",
            "city": "CASTLE ROCK",
            "state": "WA",
            "postal_code": "986118021",
            "telephone_number": "360-274-3262",
            "fax_number": "360-274-3345"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "621 Grade St",
            "address_purpose": "LOCATION",
            "city": "Kelso",
            "state": "WA",
            "postal_code": "986262606",
            "country_code": "US",
            "telephone_number": "360-425-9210",
            "fax_number": "360-501-6131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLLOWAY",
        "first_name": "TERRY",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-28",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "CO60980680",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP60979601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma V Torres Baltazar MD PLLC
• Jennifer Nicole Farrelly, LMP
• Gregory Loren Finkas, DC
• Generoso Health LLC
• Janet Eileen Harper, RDH
• Crystal Hummel, RN
• Sara Jean Jenkins
• Lester Blaine Kennington, DDS
• Trinity Lynn Klecker
• Kleine Enterprises

• Addiction (Substance Use Disorder) Counselor in Castle Rock, WA
• Providers in Castle Rock, WA by specialty
• Addiction (Substance Use Disorder) Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2024; 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.