LOLETTA M HOLLOWAY LMFT
NPI 1336611458
Counselor - Mental Health in Vacaville, CA

Q: What is Loletta Holloway's NPI number?

The NPI number for Loletta Holloway is 1336611458. It was assigned to this individual provider in the NPPES registry on December 31, 2018.

Q: What is Loletta Holloway's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Loletta Holloway was last updated on August 20, 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 December 31, 2018PECOS Enrolled

190 S ORCHARD AVE STE A110, VACAVILLE, CA 95688(707) 689-5553(707) 660-8206 Get Directions Write a Review

NPPES record last updated: August 20, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 20, 2024, Jun 14, 2024, May 15, 2024 and 4 more (7 updates tracked since 2018).

On this page

About Loletta M Holloway Lmft NPPES

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

LOLETTA M HOLLOWAY LMFT (NPI 1336611458) is an individual mental health provider in Vacaville, California, licensed in California (LMFT131469) and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336611458

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameLOLETTA M HOLLOWAYCredential: LMFT

Location Address190 S ORCHARD AVE STE A110Vacaville, CA 95688-3649

Mailing AddressPo Box 1787Vacaville, CA 95696-1787

Phone(707) 689-5553

Fax(707) 660-8206

Sole ProprietorYes

Enumeration DateDecember 31, 2018

Last NPPES UpdateAugust 20, 20247 updates tracked since enumeration

NPPES CertifiedAugust 20, 2024

✔ NPI 1336611458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in CA · LMFT131469

190 S ORCHARD AVE STE A110, Vacaville, CA 95688

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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)

Loletta M Holloway Lmft 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 Loletta Holloway reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lighthouse Mental Health Family Therapy Services

Same address

Mental Health

190 S ORCHARD AVE STE A110
Vacaville, CA 95688

Reassigned Medicare billing, California enrollment

NPI 1669205357 (707) 689-5553

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.

LIGHTHOUSE MENTAL HEALTH FAMILY THERAPY SERVICES

Counselor (Mental Health)

190 S ORCHARD AVE STE A110
VACAVILLE, CA 95688

Solano County (707) 689-5553

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 Loletta Holloway's NPI number?

The NPI number for Loletta Holloway is 1336611458. It was assigned to this individual provider in the NPPES registry on December 31, 2018.

Where is Loletta Holloway located?

Loletta Holloway practices at 190 S Orchard Ave Ste A110, Vacaville, CA 95688. The listed phone number is (707) 689-5553.

What is Loletta Holloway's specialty?

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

Is Loletta Holloway enrolled in Medicare?

Yes. Loletta Holloway is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Loletta Holloway's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Loletta Holloway reassigns Medicare benefits to Lighthouse Mental Health Family Therapy Services (Vacaville, CA). 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 Loletta Holloway'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 Loletta Holloway was last updated on August 20, 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.