Provider Type Icon

HOLLY S WHITAKER MA LPCC NPI 1205970761


NPI Information

NPI: 1205970761
Provider Name: HOLLY S WHITAKER, MA, LPCC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

PECOS Registration: Yes

Address:
1360 ENERGY PARK DR STE 330
SAINT PAUL, MN
ZIP 55108
Phone: (651) 439-2059
Get Directions

Holly S Whitaker, MA, LPCC is a mental health counselor in Saint Paul, MN. Holly S Whitaker, MA, LPCC NPI is 1205970761. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1360 ENERGY PARK DR STE 330
SAINT PAUL, MN
ZIP 55108-298
Phone: (651) 439-2059
Fax: (888) 675-8262

The NPI 1205970761 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 2/17/2007 and was last updated on 11/5/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental HealthCC01515MINNESOTAYes
2101YP1600XCounselorPastoralE0008095OHIONo
3101YP2500XCounselorProfessionalE0008095OHIONo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.