Holly S. Whitaker, MA, LPCC
NPI 1205970761ActiveIndividual· Counselor, Mental Health· Saint Paul, MN
Counselor, Mental Health (MA, LPCC) with Rush Inc, practicing in Saint Paul, Minnesota. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1205970761 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MA, LPCC |
| Sole proprietor | No |
| NPI issued | Feb 17, 2007 |
| Last updated in NPPES | Nov 5, 2020 |
| Certified by provider | Nov 5, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | CC01515 | MN |
| Counselor, Pastoral | 101YP1600X | E0008095 | OH |
| Counselor, Professional | 101YP2500X | E0008095 | OH |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (MN) |
|---|
Education and affiliations
| Graduation year | 2003 |
|---|---|
| Medicare specialty | Mental Health Counselor |
Medical group
- Rush IncStillwater, MN · 19 clinicians
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