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HOLLY MUNDON
NPI 1174166185
Social Worker - Clinical in Cincinnati, OH

Active since October 22, 2019PECOS Enrolled
6809 MAIN ST # 1083, CINCINNATI, OH 45244(513) 237-4406(513) 874-5215 Get Directions Write a Review

NPPES record last updated: May 2, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Holly Mundon NPPES

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

HOLLY MUNDON (NPI 1174166185) is an individual clinical provider in Cincinnati, Ohio, licensed in Ohio (I1100166) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174166185
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameHOLLY MUNDON
Location Address6809 MAIN ST # 1083Cincinnati, OH 45244-3470
Mailing Address6809 Main St # 1083Cincinnati, OH 45244-3470 · (513) 237-4406
Phone(513) 237-4406
Fax(513) 874-5215
Sole ProprietorYes
Enumeration DateOctober 22, 2019
Last NPPES UpdateMay 2, 2025
NPPES CertifiedMay 2, 2025
✔ NPI 1174166185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in OH · I1100166
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
6809 MAIN ST # 1083, Cincinnati, OH 45244
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Holly Mundon is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

3

Medicare enrollment records show Holly Mundon reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mental Health Specialty Group PA
369 mi
Mental Health
110 N CORCORAN ST FL 5
Durham, NC 27701
  • Reassigned Medicare billing, Ohio enrollment
  • 130 clinicians in this Medicare group
NPI 1801472634 (323) 205-7088
Grow Healthcare Group PA
951 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Ohio enrollment
  • 725 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711
Sondermind Provider Network LLC
1,102 mi
Clinical
1738 WYNKOOP ST STE 303
Denver, CO 80202
  • Reassigned Medicare billing, Ohio enrollment
  • 313 clinicians in this Medicare group
NPI 1760854442 (844) 843-7279

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45244 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.34 – $166.65
Typical copayment $0.00 (range $13.58 – $41.66)
Most-billed visit code NA
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Mundon's NPI number?

The NPI number for Holly Mundon is 1174166185. It was assigned to this individual provider in the NPPES registry on October 22, 2019.

Where is Holly Mundon located?

Holly Mundon practices at 6809 Main St # 1083, Cincinnati, OH 45244. The listed phone number is (513) 237-4406.

What is Holly Mundon's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Holly Mundon enrolled in Medicare?

Yes. Holly Mundon is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Holly Mundon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Holly Mundon reassigns Medicare benefits to 3 organizations: Mental Health Specialty Group PA (Durham, NC), Grow Healthcare Group PA (Miami, FL) 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 Mundon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Holly Mundon accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Oscar Health Insurance and Oscar Insurance Corporation of Ohio and 1 other insurer list Holly Mundon 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 Mundon was last updated on May 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.