MS. HOLLY ANN NABOZNY
NPI 1114026051
Counselor in Detroit, MI

Active since September 21, 2006PECOS EnrolledAccepts Medicare Assignment
4777 E OUTER DR, DETROIT, MI 48234(313) 369-5000(313) 369-5545 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ms. Holly Ann Nabozny NPPES

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

MS. HOLLY ANN NABOZNY (NPI 1114026051) is an individual counselor in Detroit, Michigan and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1114026051
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMS. HOLLY ANN NABOZNY
Location Address4777 E OUTER DRDetroit, MI 48234-3241
Mailing Address28000 Dequindre RdWarren, MI 48092-2468 · (586) 753-0405 · Fax (586) 753-0404
Fax(313) 369-5545
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateSeptember 21, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1114026051 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
4777 E OUTER DR, Detroit, MI 48234

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

Ms. Holly Ann Nabozny 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 ID9335360577
PECOS Enrollment IDI20141031002085
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 Reassignment

Medicare enrollment records show Holly Nabozny reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical
36389 HARPER AVE
Clinton Twp, MI 48035
  • Reassigned Medicare billing, Michigan enrollment

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.

Psychologist
4777 E OUTER DR
DETROIT, MI 48234
Counselor
4777 E OUTER DR
DETROIT, MI 48234
Ambulance (Land Transport)
4777 E OUTER DR
DETROIT, MI 48234
General Acute Care Hospital
4777 E OUTER DR
DETROIT, MI 48234
Physician Assistant
4777 E OUTER DR
DETROIT, MI 48234
Social Worker
4777 E OUTER DR
DETROIT, MI 48234
Nurse Practitioner
4777 E OUTER DR, 2935 WEST. GRAND BLVD.
DETROIT, MI 48234
Dietitian, Registered
4777 E OUTER DR
DETROIT, MI 48234

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 Nabozny's NPI number?

The NPI number for Holly Nabozny is 1114026051. It was assigned to this individual provider in the NPPES registry on September 21, 2006.

Where is Holly Nabozny located?

Holly Nabozny practices at 4777 E Outer Dr, Detroit, MI 48234. The listed phone number is (313) 369-5000.

What is Holly Nabozny's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Holly Nabozny enrolled in Medicare?

Yes. Holly Nabozny 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 organization bills Medicare for Holly Nabozny's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Holly Nabozny reassigns Medicare benefits to Holly Nabozny Inc (Clinton Twp, MI). The 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 Nabozny's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Holly Nabozny accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Holly Nabozny 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 Nabozny was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.