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HOLLY S WHITAKER MA, LPCC
NPI 1205970761
Counselor - Mental Health in Saint Paul, MN

Active since February 17, 2007PECOS Enrolled
1360 ENERGY PARK DR STE 330, SAINT PAUL, MN 55108(651) 439-2059(888) 675-8262 Get Directions Write a Review

NPPES record last updated: November 5, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 5, 2020, Apr 19, 2018 (2 updates tracked since 2018).

About Holly S Whitaker Ma, Lpcc NPPES

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

HOLLY S WHITAKER MA, LPCC (NPI 1205970761) is an individual mental health provider in Saint Paul, Minnesota, licensed in Minnesota (CC01515) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1205970761
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameHOLLY S WHITAKERCredential: MA, LPCC
Location Address1360 ENERGY PARK DR STE 330Saint Paul, MN 55108-5298
Mailing Address588 101st Ave NNaples, FL 34108-3201 · (651) 439-2059 · Fax (888) 675-8262
Phone(651) 439-2059
Fax(888) 675-8262
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateFebruary 17, 2007
Last NPPES UpdateNovember 5, 20202 updates tracked since enumeration
NPPES CertifiedNovember 5, 2020
✔ NPI 1205970761 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MN · CC01515
Also ListedCounselor · PastoralTaxonomy 101YP1600X · License E0008095 (OH)
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License E0008095 (OH)
1360 ENERGY PARK DR STE 330, Saint Paul, MN 55108
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.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 S Whitaker Ma, Lpcc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9234573247
PECOS Enrollment IDI20240219000561
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 Whitaker reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Rush Inc
17 mi
Psychologist
1751 TOWER DR W STE 200
Stillwater, MN 55082
  • Reassigned Medicare billing, Minnesota enrollment
  • 24 clinicians in this Medicare group
NPI 1801942040 (651) 439-2059

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

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

NICOLE ROCHELLE TERLOUW LICSW
Social Worker (Clinical)
1360 ENERGY PARK DR STE 330
SAINT PAUL, MN 55108
Ramsey County (651) 439-2059

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 Whitaker's NPI number?

The NPI number for Holly Whitaker is 1205970761. It was assigned to this individual provider in the NPPES registry on February 17, 2007.

Where is Holly Whitaker located?

Holly Whitaker practices at 1360 Energy Park Dr Ste 330, Saint Paul, MN 55108. The listed phone number is (651) 439-2059.

What is Holly Whitaker's specialty?

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

Is Holly Whitaker enrolled in Medicare?

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

Which organization bills Medicare for Holly Whitaker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Holly Whitaker reassigns Medicare benefits to Rush Inc (Stillwater, MN). 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 Whitaker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Holly Whitaker accept?

Health plans from HealthPartners list Holly Whitaker 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 Whitaker was last updated on November 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.