Jean Vanessa Holley, LPCC
NPI 1063714491ActiveIndividual· Counselor, Professional· Sandia Park, NM
Counselor, Professional (LPCC) in Sandia Park, New Mexico, licensed in NM, with an NPI issued in November 2010. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1063714491 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LPCC |
| Sole proprietor | No |
| NPI issued | Nov 17, 2010 |
| Last updated in NPPES | Jan 12, 2023 |
| Certified by provider | Jan 12, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | 0162971 | NM |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (NM) |
|---|
Education and affiliations
| Graduation year | 2009 |
|---|---|
| Medicare specialty | Mental Health Counselor |
Other professional counselors in Sandia Park
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