Active NPI
Hollie Makenna Owens, LPC-MHSP
- Mental Health Counselor
- Memphis, TN
National Provider Identifier
1902529373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 6206
- Practice address
- 710 W Brookhaven Cir
Memphis, TN 38117 - Phone
- (901) 610-1722
- NPI assigned
- Sep 21, 2022
- Last updated
- Sep 21, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 6206 | TN | Primary |
Addresses
Primary practice location
710 W Brookhaven Cir
Memphis, TN 38117
Mailing address
2255 Lancashire CV
Germantown, TN 38138-4623
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jun 6, 2024 through Jun 6, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6206 | TN | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663718400000",
"number": "1902529373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2255 LANCASHIRE CV",
"city": "GERMANTOWN",
"state": "TN",
"postal_code": "381384623",
"fax_number": "901-610-1722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 W BROOKHAVEN CIR",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "38117",
"telephone_number": "901-610-1722"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OWENS",
"first_name": "HOLLIE",
"middle_name": "MAKENNA",
"credential": "LPC-MHSP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-21",
"last_updated": "2022-09-21",
"certification_date": "2022-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TN",
"license": "6206",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.