Holly Ann Nelson, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2247 Issued in MN

Practice address

6230 10TH St N Ste 220
Oakdale, MN 55128-6160

Phone

(651) 755-4276

Fax

(888) 972-5307

NPI assigned

Apr 13, 2021

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

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, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Counseling Kids and Adults PLLCGroup PAC ID 9032649504, 5 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.

• Counseling Kids and Adults PLLC

  • Mental Health Counselor
  • Oakdale, MN
  • NPI 1174955397

  Addiction (Substance Use Disorder)

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1618272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758240000000",
    "number": "1982284915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31838 ELMWOOD TRL",
            "city": "STACY",
            "state": "MN",
            "postal_code": "550798632",
            "telephone_number": "612-991-8345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6230 10TH ST N STE 220",
            "city": "OAKDALE",
            "state": "MN",
            "postal_code": "551286160",
            "telephone_number": "651-755-4276",
            "fax_number": "888-972-5307"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31838 Elmwood Trl",
            "address_purpose": "LOCATION",
            "city": "Stacy",
            "state": "MN",
            "postal_code": "550798632",
            "country_code": "US",
            "telephone_number": "612-991-8345",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11185 Lake Blvd",
            "address_purpose": "LOCATION",
            "city": "Chisago City",
            "state": "MN",
            "postal_code": "550139817",
            "country_code": "US",
            "telephone_number": "651-755-4276",
            "fax_number": "888-972-5307",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12814 Lake Blvd",
            "address_purpose": "LOCATION",
            "city": "Lindstrom",
            "state": "MN",
            "postal_code": "550459345",
            "country_code": "US",
            "telephone_number": "651-755-4276",
            "fax_number": "888-972-5307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NELSON",
        "first_name": "HOLLY",
        "middle_name": "ANN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-13",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "305277",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "2247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1174955397",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ayan Mukhtar
• Heather Mundis, M.A., LP
• National Home Healthcare Inc
• NBH Geneva LLC
• Maryama Kedir Nebi
• Lyndsey Nelson
• Sara Frances Ripp Nelson, LADC
• Taylor Nelson
• New Creation Sports and Wellness, LLC
• Graciana Ngah

• Professional Counselor in Oakdale, MN
• Providers in Oakdale, MN by specialty
• Professional Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; 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.