HOLLY GAYLE LEWIS
NPI 1295234128
Counselor - Professional in Pueblo, CO

Q: What is Holly Lewis's NPI number?

The NPI number for Holly Lewis is 1295234128. It was assigned to this individual provider in the NPPES registry on February 6, 2018.

Q: What is Holly Lewis's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Holly Lewis was last updated on February 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since February 06, 2018PECOS EnrolledAccepts Medicare Assignment

41 MONTEBELLO RD STE 116, PUEBLO, CO 81001(719) 423-1500(719) 542-9269 Get Directions Write a Review

NPPES record last updated: February 15, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Holly Gayle Lewis NPPES

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

HOLLY GAYLE LEWIS (NPI 1295234128) is an individual professional provider in Pueblo, Colorado, licensed in Colorado (LPC.0004018) and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1295234128

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameHOLLY GAYLE LEWIS

Location Address41 MONTEBELLO RD STE 116Pueblo, CO 81001-1366

Mailing Address41 Montebello Rd Ste 202Pueblo, CO 81001-1366 · (719) 545-2746 · Fax (719) 545-4100

Phone(719) 423-1500

Fax(719) 542-9269

Sole ProprietorNo

Medical School CMSOtherGraduated 2002

Enumeration DateFebruary 6, 2018

Last NPPES UpdateFebruary 15, 2024

NPPES CertifiedFebruary 15, 2024

✔ NPI 1295234128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in CO · LPC.0004018

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License ACD.0001569 (CO)

41 MONTEBELLO RD STE 116, Pueblo, CO 81001

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company, Providence Health Plan.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

Holly Gayle Lewis 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 ID244682607

PECOS Enrollment IDI20240122001875

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 14

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

MICHELLE AGONOY

Registered Nurse