HOLLY LYNN COURTENAY (LPCC) – Professional Counselor, NPI 1124506183

HOLLY LYNN COURTENAY (LPCC) is a healthcare provider. based in Winona, Minnesota. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LPCC. They hold a License No. CC01479 (MN). The NPI Number for HOLLY LYNN COURTENAY (LPCC) is 1124506183

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
HOLLY LYNN COURTENAY (LPCC)
NPI
1124506183
Phone
(507) 454-4341
Address
420 E SARNIA ST
Enumeration Date
1 August 2018
Last Update Date
14 November 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5074544341
Graduation Year
2012 (14 years ago)
PAC ID
7113377995
Group Practice PAC ID
7113026998
Professional Enrollment ID
I20231220000407
Address ID
MN559876414WI420XXSTXX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

1,813 MENTAL HEALTH COUNSELOR in MN

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Provider Addresses for HOLLY LYNN COURTENAY (LPCC)

  • 420, East Sarnia Street, Winona, Winona County, Minnesota, 55987, United States

    WINONA, MN 559876365

    Phone: (507) 454-4341

    Fax: (507) 453-6267

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-12-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231220000407IMental Health CounselorMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55987)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7113026998View full group profile
NameSpecialtyState
Mental Health CounselorMN
Clinical Social WorkerMN
Physician AssistantMN
Mental Health CounselorMN
Clinical Social WorkerMN
Mental Health CounselorMN
Mental Health CounselorMN
Physician AssistantMN
Clinical Social WorkerMN
Clinical Social WorkerMN

Reviews

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Frequently asked questions

Is HOLLY LYNN COURTENAY (LPCC) listed with a National Provider Identifier?
Yes — HOLLY LYNN COURTENAY (LPCC) has NPI 1124506183 on file in the registry.
Is HOLLY LYNN COURTENAY (LPCC) shown as active in public data?
Registry records indicate HOLLY LYNN COURTENAY (LPCC) maintains an active NPI.
What clinical focus is listed for HOLLY LYNN COURTENAY (LPCC)?
At a glance, HOLLY LYNN COURTENAY (LPCC) is tied to Professional Counselor. Clinical services aligned with this taxonomy classification.
What locale is associated with HOLLY LYNN COURTENAY (LPCC)?
Directory geography for HOLLY LYNN COURTENAY (LPCC) centers on Winona, Minnesota.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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