MRS. HOLLY M PICKARD (MS) – Mental Health Counselor, NPI 1215476593

MRS. HOLLY M PICKARD (MS) is a healthcare provider. based in Woodbury, Minnesota. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials MS. The NPI Number for MRS. HOLLY M PICKARD (MS) is 1215476593

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
MRS. HOLLY M PICKARD (MS)
NPI
1215476593
Phone
(651) 714-9646
Address
1811 WEIR DR
Enumeration Date
19 February 2017
Last Update Date
11 June 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9528841148
Graduation Year
2015 (11 years ago)
PAC ID
5395195481
Group Practice PAC ID
1759293954
Professional Enrollment ID
I20240102003195
Address ID
MN554202824BL8600XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience33
Completeness75
Years active:9State licenses:0Digital endpointsOther names

1,813 MENTAL HEALTH COUNSELOR in MN

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Provider Addresses for MRS. HOLLY M PICKARD (MS)

  • 1811, Weir Drive, Woodbury, Washington County, Minnesota, 55125, United States

    SUITE 270

    WOODBURY, MN 551252272

    Phone: (651) 714-9646

    Type: Location

  • 8550 HUDSON BLVD N

    LAKE ELMO, MN 550425500

    Phone: (651) 254-8580

    Type: Location

  • 1900, Silver Lake Road Northwest, New Brighton, Ramsey County, Minnesota, 55112, United States

    NEW BRIGHTON, MN 55112

    Phone: (651) 628-9566

    Type: Mailing

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: 2024-01-02

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
I20240102003195IMental 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 55125)

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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: 1759293954View full group profile

Reviews

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Frequently asked questions

Is there an official ID for MRS. HOLLY M PICKARD (MS) in U.S. healthcare records?
The official identifier for MRS. HOLLY M PICKARD (MS) is NPI 1215476593.
Would MRS. HOLLY M PICKARD (MS) appear as active to a payer?
You can treat MRS. HOLLY M PICKARD (MS) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for MRS. HOLLY M PICKARD (MS)?
At a glance, MRS. HOLLY M PICKARD (MS) is tied to Mental Health Counselor. Clinical services aligned with this taxonomy classification.
What locale is associated with MRS. HOLLY M PICKARD (MS)?
Directory geography for MRS. HOLLY M PICKARD (MS) centers on Woodbury, Minnesota.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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