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REGINA W HOLLEY LPC
NPI 1356037915
Counselor - Mental Health in Bainbridge, GA

Active since April 14, 2023PECOS Enrolled
411 BAINBRIDGE ST, BAINBRIDGE, GA 39819(229) 220-5786 Get Directions Write a Review

NPPES record last updated: April 14, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Regina W Holley Lpc NPPES

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

REGINA W HOLLEY LPC (NPI 1356037915) is an individual mental health provider in Bainbridge, Georgia, licensed in Georgia (LPC006306) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1356037915
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameREGINA W HOLLEYCredential: LPC
Location Address411 BAINBRIDGE STBainbridge, GA 39819-5074
Mailing AddressPo Box 7057Bainbridge, GA 39818-7057 · (229) 220-5786
Phone(229) 220-5786
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateApril 14, 2023
NPPES CertifiedApril 14, 2023
✔ NPI 1356037915 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 GA · LPC006306
411 BAINBRIDGE ST, Bainbridge, GA 39819
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama 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)

Regina W Holley Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4981040847
PECOS Enrollment IDI20240313003697
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 Regina Holley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Edgecare 360 LLC
207 mi
Mental Health
2470 WINDY HILL RD SE STE 300
Marietta, GA 30067
  • Reassigned Medicare billing, Georgia enrollment
  • 4 clinicians in this Medicare group
NPI 1306590328 (770) 933-5328

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

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 Regina Holley's NPI number?

The NPI number for Regina Holley is 1356037915. It was assigned to this individual provider in the NPPES registry on April 14, 2023.

Where is Regina Holley located?

Regina Holley practices at 411 Bainbridge St, Bainbridge, GA 39819. The listed phone number is (229) 220-5786.

What is Regina Holley's specialty?

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

Is Regina Holley enrolled in Medicare?

Yes. Regina Holley is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Regina Holley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Regina Holley reassigns Medicare benefits to Edgecare 360 LLC (Marietta, GA). 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 Regina Holley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Regina Holley accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Regina Holley 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 Regina Holley was last updated on April 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.