Individual provider Active NPI

Holly Hockstok, MS, LCAS-A, QP

  • Professional Counselor
  • Hamilton, OH
National Provider Identifier
1932581196
Registry record updated Sep 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LICDC.161325 Issued in OH
Practice address
3103 Dixie Hwy
Hamilton, OH 45015-1653
Phone
(513) 892-4673
Fax
(513) 737-1107
NPI assigned
Jun 24, 2015
Last updated
Sep 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LICDC.161325 OH Primary

Addresses

Primary practice location

3103 Dixie Hwy
Hamilton, OH 45015-1653

Mailing address

100 Crowne Point PL
Cincinnati, OH 45241-5427
Phone (513) 743-7628

Other practice location 1

2670 Durham Chapel Hill Blvd
Durham, NC 27707-2829
Phone (919) 251-9001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20240126000899 OH Practitioner - Mental Health Counselor 4880043280 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Decoach Team LLCGroup PAC ID 7517244551, 16 clinicians

Practice addresses (Care Compare)

6570 Sosna Dr
Fairfield, OH 45014-2222
Phone (513) 942-4673

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LICDC.161325OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Decoach Team LLC CurrentSince Nov 13, 2022 Accepting new patients

Locations

1620 Harrison Ave
Cincinnati, OH 45214
Phone (513) 914-4673

865 S Patterson Blvd
Dayton, OH 45402
Phone (937) 966-4673

6570 Sosna Dr
Fairfield, OH 45014
Phone (513) 942-4673

3103 Dixie Hwy
Hamilton, OH 45015
Phone (513) 892-4673

100 Crowne Point Pl
Sharonville, OH 45241
Phone (513) 743-7628

36 N Detroit St
Ste 105
Xenia, OH 45385
Phone (513) 942-4673

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1435104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790726400000",
    "number": "1932581196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CROWNE POINT PL",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452415427",
            "telephone_number": "513-743-7628",
            "fax_number": "513-737-1107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3103 DIXIE HWY",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450151653",
            "telephone_number": "513-892-4673",
            "fax_number": "513-737-1107"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2670 Durham Chapel Hill Blvd",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277072829",
            "country_code": "US",
            "telephone_number": "919-251-9001",
            "fax_number": "919-251-9008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOCKSTOK",
        "first_name": "HOLLY",
        "credential": "MS, LCAS-A, QP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-24",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "LICDC.161325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, OH

Sources for this page

Verify at the official NPI Registry.