Holly Anderson LLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

HOLLY ANDERSON LLC

Practice address

1408 Poyntz Ave
Manhattan, KS 66502-4145

Phone

(785) 776-4105

Fax

(785) 537-2299

NPI assigned

Aug 6, 2013

Organization subpart

No

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

Authorized official

Name

Holly J Anderson, LCMFT

Title

Owner

Phone

(785) 776-4105

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1375747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375747200000",
    "number": "1972935567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 POYNTZ AVE",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665024145",
            "telephone_number": "785-776-4105",
            "fax_number": "785-537-2299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 POYNTZ AVE",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665024145",
            "telephone_number": "785-776-4105",
            "fax_number": "785-537-2299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLY ANDERSON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-06",
        "last_updated": "2013-08-06",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "785-776-4105",
        "authorized_official_credential": "LCMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "KS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12570785",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jason Lyle Hoke, DO
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• Holistic Recovery LLC
• Tricia Holliday
• Ashley Nicole Holm
• Abigail K Holmes, DPT, ATC
• Clarice A Holmes
• Claire Holt
• Marissa Holt

• All providers in Manhattan, KS
• Marriage & Family Therapist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2013; 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.