MS. HOLLIS HOLLY KADESH LPC
NPI 1124130158
Counselor in Roseburg, OR

Q: What is Hollis Kadesh's NPI number?

The NPI number for Hollis Kadesh is 1124130158. It was assigned to this individual provider in the NPPES registry on August 31, 2006. The provider is also known as Holly Kadesh.

Q: What is Hollis Kadesh's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Hollis Kadesh was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment

1652 NW HUGHWOOD CT, ROSEBURG, OR 97471(541) 673-3985(541) 673-8060 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Ms. Hollis Holly Kadesh Lpc NPPES

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

MS. HOLLIS HOLLY KADESH LPC (NPI 1124130158) is an individual counselor in Roseburg, Oregon, licensed in Montana (1236LCPC) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1124130158

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameMS. HOLLIS HOLLY KADESHCredential: LPC

Location Address1652 NW HUGHWOOD CTRoseburg, OR 97471-8844

Mailing Address110 S Park CtRoseburg, OR 97471-8121 · (406) 671-4772 · Fax (541) 673-8060

Phone(541) 673-3985

Fax(541) 673-8060

Sole ProprietorNo

Medical School CMSOtherGraduated 1995

Enumeration DateAugust 31, 2006

Last NPPES UpdateSeptember 11, 2025

NPPES CertifiedSeptember 11, 2025

✔ NPI 1124130158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in MT · 1236LCPC

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.

Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License MFC36003 (CA)

1652 NW HUGHWOOD CT, Roseburg, OR 97471

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Other Names 1

Other Name (5)Holly Kadesh

Other Identifiers 2

Medicaid500856906OR

Medicaid0257193MT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Hollis Holly Kadesh Lpc 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 ID3476043985

PECOS Enrollment IDI20251104001474

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.

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.

HALEY ROSE MCGEE

Counselor (Mental Health)