REBECCA HOLLOWAY (LPC) – Mental Health Counselor, NPI 1891312591

REBECCA HOLLOWAY (LPC) is a healthcare provider. based in Bolivar, Tennessee. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LPC. They hold a License No. LPC4933 (TN). The NPI Number for REBECCA HOLLOWAY (LPC) is 1891312591

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
REBECCA HOLLOWAY (LPC)
NPI
1891312591
Phone
(731) 203-1011
Address
10710 OLD HIGHWAY 64
Enumeration Date
29 June 2020
Last Update Date
19 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7319269600
Graduation Year
2014 (12 years ago)
PAC ID
6002268646
Group Practice PAC ID
4981889862
Professional Enrollment ID
I20240118003238
Address ID
TN383721906SA80XXXBLVD300

Contacts

Secure Messaging
rebecca.holloway@quincomhc.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness85
Years active:5State licenses:1Other namesUpdated within 12 months

650 MENTAL HEALTH COUNSELOR in TN

Provider Addresses for REBECCA HOLLOWAY (LPC)

  • 10710 OLD HIGHWAY 64

    BOLIVAR, TN 380083587

    Phone: (731) 203-1011

    Fax: (731) 658-1597

    Type: Mailing

  • 1410 PICKWICK ST

    SAVANNAH, TN 383723519

    Phone: (731) 925-5699

    Fax: (731) 658-1597

    Type: Location

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: 2024-01-18

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
I20240118003238IMental Health CounselorTNTBD

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 38008)

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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: 4981889862View full group profile
NameSpecialtyState
General SurgeryTN
Internal Medicine, Medical OncologyTN
Cardiovascular Disease (Cardiology)TN
Pulmonary Disease, Sleep MedicineTN
Nurse PractitionerTN
Nurse PractitionerTN
Nurse PractitionerTN
Nurse PractitionerTN
U R O L O G YTN
General SurgeryTN

Reviews

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Frequently asked questions

What number should I use to identify REBECCA HOLLOWAY (LPC) for billing?
Administrative and clinical systems typically use NPI 1891312591 for REBECCA HOLLOWAY (LPC).
Does the public listing show REBECCA HOLLOWAY (LPC) as active?
REBECCA HOLLOWAY (LPC)'s NPI record reflects an active status in NPPES.
What does the directory say REBECCA HOLLOWAY (LPC) does?
Insurance directories may phrase it differently, but here REBECCA HOLLOWAY (LPC) maps to Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Is REBECCA HOLLOWAY (LPC) tied to Bolivar, Tennessee?
If you are local to Bolivar, Tennessee, REBECCA HOLLOWAY (LPC) may be relevant to your search.
Can I export REBECCA HOLLOWAY (LPC)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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