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ANDREA NICOLE O'CONNOR HOLMAN
NPI 1184370694
Counselor - Professional in Fredericksburg, VA

Active since February 23, 2022PECOS Enrolled
420 HUDGINS RD STE 201, FREDERICKSBURG, VA 22408(540) 621-5061(866) 832-7890 Get Directions Write a Review

NPPES record last updated: May 20, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 20, 2025, May 12, 2025, Feb 23, 2022 (3 updates tracked since 2022).

About Andrea Nicole O'connor Holman NPPES

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

ANDREA NICOLE O'CONNOR HOLMAN (NPI 1184370694) is an individual professional provider in Fredericksburg, Virginia, licensed in Virginia (0701011191) and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184370694
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameANDREA NICOLE O'CONNOR HOLMAN
Location Address420 HUDGINS RD STE 201Fredericksburg, VA 22408-4172
Mailing Address420 Hudgins Rd Ste 201Fredericksburg, VA 22408-4172 · (540) 907-0121 · Fax (866) 832-7890
Phone(540) 621-5061
Fax(866) 832-7890
Sole ProprietorNo
Enumeration DateFebruary 23, 2022
Last NPPES UpdateMay 20, 20253 updates tracked since enumeration
NPPES CertifiedMay 20, 2025
✔ NPI 1184370694 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in VA · 0701011191
420 HUDGINS RD STE 201, Fredericksburg, VA 22408
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrea Nicole O'connor Holman 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 Reassignment

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

Lighthouse Counseling Of Fredericksburg, Plc
Same address
Professional
420 HUDGINS RD, SUITE 201
Fredericksburg, VA 22408
  • Reassigned Medicare billing, Virginia enrollment
  • 6 clinicians in this Medicare group
NPI 1225579790 (540) 907-0121

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 9

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

KIMBERLY MARLEY
Social Worker (Clinical)
420 HUDGINS RD STE 201
FREDERICKSBURG, VA 22408
Spotsylvania County (540) 907-0121
KYLIE D SMITH LCSW
Social Worker (Clinical)
420 HUDGINS RD STE 201
FREDERICKSBURG, VA 22408
Spotsylvania County (540) 907-0121
CHRISTINA DALEY-QUENTAL MSW
Social Worker
420 HUDGINS RD STE 201
FREDERICKSBURG, VA 22408
Spotsylvania County (540) 907-0121
AMEER ABDEL-MUHSIN
Counselor (Addiction (Substance Use Disorder))
420 HUDGINS RD STE 201
FREDERICKSBURG, VA 22408
Spotsylvania County (540) 907-0121
MS. MONICA LYNN ROGERS LCSW
Social Worker (Clinical)
420 HUDGINS RD STE 201
FREDERICKSBURG, VA 22408
Spotsylvania County (540) 907-0121
NATASHA DICKERSON-AMAYA MS, LPC
Counselor (Professional)
420 HUDGINS RD STE 201
FREDERICKSBURG, VA 22408
Spotsylvania County (540) 907-0121
MS. JANINE RUMBERGER LCSW
Social Worker (Clinical)
420 HUDGINS RD STE 201
FREDERICKSBURG, VA 22408
Spotsylvania County (540) 907-0121
ELENA DOMINGUEZ-BRICK
Social Worker
420 HUDGINS RD STE 201
FREDERICKSBURG, VA 22408
Spotsylvania County (540) 907-0121

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 Andrea Holman's NPI number?

The NPI number for Andrea Holman is 1184370694. It was assigned to this individual provider in the NPPES registry on February 23, 2022.

Where is Andrea Holman located?

Andrea Holman practices at 420 Hudgins Rd Ste 201, Fredericksburg, VA 22408. The listed phone number is (540) 621-5061.

What is Andrea Holman's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Andrea Holman enrolled in Medicare?

Yes. Andrea Holman is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Andrea Holman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrea Holman reassigns Medicare benefits to Lighthouse Counseling Of Fredericksburg, Plc (Fredericksburg, VA). 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 Andrea Holman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Andrea Holman was last updated on May 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.