HOLLY D. SHOCKLEY LPC, LMHC
NPI 1043497068
Counselor - Mental Health in Spokane, WA

Active since January 22, 2008PECOS EnrolledAccepts Medicare Assignment
100 N HOWARD ST STE W, SPOKANE, WA 99201(970) 787-5100 Get Directions Write a Review

NPPES record last updated: January 29, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 4, 2024, Feb 27, 2023, Jun 17, 2016 (3 updates tracked since 2016).

About Holly D. Shockley Lpc, Lmhc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HOLLY D. SHOCKLEY LPC, LMHC (NPI 1043497068) is an individual mental health provider in Spokane, Washington, licensed in Washington (LH60450840) and active in the NPI registry since January 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1043497068
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameHOLLY D. SHOCKLEYCredential: LPC, LMHC
Location Address100 N HOWARD ST STE WSpokane, WA 99201-0508
Mailing Address100 N Howard St Ste WSpokane, WA 99201-0508 · (970) 787-5100
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateJanuary 22, 2008
Last NPPES UpdateJanuary 29, 20243 updates tracked since enumeration
NPPES CertifiedJanuary 29, 2024
✔ NPI 1043497068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in WA · LH60450840
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License LPC0012730 (CO), 92111 (TX)
100 N HOWARD ST STE W, Spokane, WA 99201

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Holly D. Shockley Lpc, Lmhc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5193175859
PECOS Enrollment IDI20231221002598, I20240217000006
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Holly Shockley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinical
6505 216TH ST SW STE 100
Mountlake Terrace, WA 98043
  • Reassigned Medicare billing, Washington enrollment
  • 777 clinicians in this Medicare group
Clinical
1738 WYNKOOP ST STE 303
Denver, CO 80202
  • Reassigned Medicare billing, Colorado enrollment
  • 940 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Marriage & Family Therapist
100 N HOWARD ST STE W
SPOKANE, WA 99201
Counselor (Mental Health)
100 N HOWARD ST STE W
SPOKANE, WA 99201
Counselor (Mental Health)
100 N HOWARD ST STE W
SPOKANE, WA 99201
Social Worker (Clinical)
100 N HOWARD ST STE W
SPOKANE, WA 99201
Counselor (Mental Health)
100 N HOWARD ST STE W
SPOKANE, WA 99201
Social Worker (Clinical)
100 N HOWARD ST STE W
SPOKANE, WA 99201
Counselor (Mental Health)
100 N HOWARD ST STE W
SPOKANE, WA 99201
Nurse Practitioner (Psychiatric/Mental Health)
100 N HOWARD ST STE W
SPOKANE, WA 99201

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Holly Shockley's NPI number?

The NPI number for Holly Shockley is 1043497068. It was assigned to this individual provider in the NPPES registry on January 22, 2008.

Where is Holly Shockley located?

Holly Shockley practices at 100 N Howard St Ste W, Spokane, WA 99201. The listed phone number is (970) 787-5100.

What is Holly Shockley's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Holly Shockley enrolled in Medicare?

Yes. Holly Shockley is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Holly Shockley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Holly Shockley reassigns Medicare benefits to 2 organizations: Mindful Therapy Group PC (Mountlake Terrace, WA) and Sondermind Provider Network LLC (Denver, CO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Holly Shockley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Holly Shockley accept?

Health plans from Blue Cross and Blue Shield of Texas, BridgeSpan Health Company, Cigna Healthcare, Kaiser Permanente and Moda Health Plan, Inc. and 5 other insurers list Holly Shockley as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Holly Shockley was last updated on January 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.