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ELIZABETH GRACE HOLLOWAY
NPI 1356196380
Counselor - Mental Health in Concord, NC

Active since April 22, 2024PECOS Enrolled
280 EXECUTIVE PARK DR STE 100, CONCORD, NC 28025(704) 237-4240 Get Directions Write a Review

NPPES record last updated: April 22, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Elizabeth Grace Holloway NPPES

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

ELIZABETH GRACE HOLLOWAY (NPI 1356196380) is an individual mental health provider in Concord, North Carolina and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1356196380
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameELIZABETH GRACE HOLLOWAY
Location Address280 EXECUTIVE PARK DR STE 100Concord, NC 28025-1838
Mailing Address7937 Latchington CtCharlotte, NC 28227-3191 · (336) 831-4362
Phone(704) 237-4240
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateApril 22, 2024
NPPES CertifiedApril 22, 2024
✔ NPI 1356196380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
280 EXECUTIVE PARK DR STE 100, Concord, NC 28025
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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)

Elizabeth Grace Holloway is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5193294130
PECOS Enrollment IDI20260519002472
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 Elizabeth Holloway reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sanctuary Counseling Group
21 mi
Mental Health
2129 E 7TH ST
Charlotte, NC 28204
  • Reassigned Medicare billing, North Carolina enrollment
  • 11 clinicians in this Medicare group
NPI 1386785251 (704) 375-5354

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 20

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

MADISON BREWER STEIGERWALT PA-C
Physician Assistant
280 EXECUTIVE PARK DR STE 100
CONCORD, NC 28025
Cabarrus County (704) 237-4240
MRS. HEATHER M HIGHTOWER MSW
Social Worker (Clinical)
280 EXECUTIVE PARK DR STE 100
CONCORD, NC 28025
Cabarrus County (704) 237-4240
JONATHAN BRAXTON LONG LCSW-A
Social Worker (Clinical)
280 EXECUTIVE PARK DR STE 100
CONCORD, NC 28025
Cabarrus County (980) 237-4766
KATHERINE SNYDER HINGST LCMHCA
Counselor (Mental Health)
280 EXECUTIVE PARK DR STE 100
CONCORD, NC 28025
Cabarrus County (207) 237-4240
ANNIE AALIYAH BOND-RICHARDSON M.ED, LCMHCA, NCC
Counselor (Mental Health)
280 EXECUTIVE PARK DR STE 100
CONCORD, NC 28025
Cabarrus County (704) 237-4240
ASHLEY MARIE STARR LCSWA
Social Worker (Clinical)
280 EXECUTIVE PARK DR STE 100
CONCORD, NC 28025
Cabarrus County (207) 237-4240
LASHARI SHAKILA BELL-SMALL LCSWA
Social Worker (Clinical)
280 EXECUTIVE PARK DR STE 100
CONCORD, NC 28025
Cabarrus County (704) 237-4240
ASHLEY CLONTZ MSW
Social Worker (Clinical)
280 EXECUTIVE PARK DR STE 100
CONCORD, NC 28025
Cabarrus County (704) 237-4240

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 Elizabeth Holloway's NPI number?

The NPI number for Elizabeth Holloway is 1356196380. It was assigned to this individual provider in the NPPES registry on April 22, 2024.

Where is Elizabeth Holloway located?

Elizabeth Holloway practices at 280 Executive Park Dr Ste 100, Concord, NC 28025. The listed phone number is (704) 237-4240.

What is Elizabeth Holloway's specialty?

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

Is Elizabeth Holloway enrolled in Medicare?

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

Which organization bills Medicare for Elizabeth Holloway's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Holloway reassigns Medicare benefits to Sanctuary Counseling Group (Charlotte, NC). 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 Elizabeth 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 Elizabeth Holloway was last updated on April 22, 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.