Holly Heaven
NPI 1639791106ActiveOrganization· Counselor, Mental Health· Bridgeport, CT
Counselor, Mental Health in Bridgeport, Connecticut, registered in NPPES in May 2020. The authorized official on file is Holly Heaven, LPC, Owner.
Overview
| NPI | 1639791106 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 7, 2020 |
| Last updated in NPPES | Jan 19, 2021 |
| Certified by provider | Jan 19, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | — | — |
| Counselor | 101Y00000X | — | — |
| Counselor, Professional | 101YP2500X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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