Kelley Holladay, PHD, LMHC, LPCC, MAC

NPI: 1790393973

Kelley Holladay, PHD, LMHC, LPCC, MAC

Q: What is Kelley Holladay's NPI number?

Kelley Holladay's NPI number is 1790393973, a unique 10-digit identifier issued by CMS.

Q: What does Kelley Holladay specialize in?

Kelley Holladay specializes in Mental Health Counselor, taxonomy code 101YM0800X.

Q: Where does Kelley Holladay practice?

Kelley Holladay practices in Flagler Beach, FL 32136-3602.

Q: When was Kelley Holladay's NPI issued?

Kelley Holladay's NPI was issued on July 14, 2020.

Q: What is Kelley Holladay's provider type?

Kelley Holladay is an Individual Provider under CMS NPI Type 1.

ActiveIndividual ProviderMental Health Counselor

NPI issued: July 14, 2020

Quick Facts

NPI Number

1790393973

TypeIndividual

StatusActive

SpecialtyMental Health Counselor

Taxonomy101YM0800X — Mental Health Counselor

Phone

(904) 894-1754

StateFL

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1790393973)

✅Active status confirmed

✅Verified by CMS NPPES Registry

✅HIPAA compliant identifier

✅Enumeration date on file (July 14, 2020)

Data source: CMS NPPES

Provider Overview

KELLEY HOLLADAY, PHD, LMHC, LPCC, MAC is a Mental Health Counselor provider based in Flagler Beach, FL who has been registered with CMS since 2020. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1790393973

Provider TypeIndividual Provider

GenderFemale

CredentialPHD, LMHC, LPCC, MAC

StatusActive

Enumeration DateJuly 14, 2020

Practice Location

CityFlagler Beach

StateFL

ZIP Code32136-3602

Phone(904) 894-1754

Specialties & Licenses

★ Primary

SpecialtyMental Health Counselor

Taxonomy Code101YM0800X

License StateFL

Mailing Address

CityFlagler Beach

StateFL

ZIP Code32136-3602

Phone(904) 894-1754

Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1790393973 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1790393973for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1790393973 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Mental Health Counselor

Mental Health Counselors diagnose and treat mental and emotional disorders, helping clients cope with life challenges, anxiety, depression, relationship issues, and overall mental wellness.

Browse all Mental Health Counselorproviders →

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Mental Health Counselor Providers in the US