MRS. REGINA HOLLIBUSH LCSW
NPI 1396910022
Social Worker - Clinical in Lindstrom, MN

Active since April 23, 2008PECOS Enrolled
12099 LINDSTROM LN, LINDSTROM, MN 55045(651) 257-8896 Get Directions Write a Review

NPPES record last updated: January 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Regina Hollibush Lcsw NPPES

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

MRS. REGINA HOLLIBUSH LCSW (NPI 1396910022) is an individual clinical provider in Lindstrom, Minnesota, licensed in Minnesota (18910) and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1396910022
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. REGINA HOLLIBUSHCredential: LCSW
Location Address12099 LINDSTROM LNLindstrom, MN 55045-9543
Mailing Address12099 Lindstrom LnLindstrom, MN 55045-9543 · (651) 243-8967
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateApril 23, 2008
Last NPPES UpdateJanuary 15, 2025
NPPES CertifiedJanuary 15, 2025
NPI 1396910022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses Licensed in MN · 18910 Licensed in WI · 6925-123
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
12099 LINDSTROM LN, Lindstrom, MN 55045

Other Identifiers 1

Medicaid43588300WI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mrs. Regina Hollibush Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6901978899
PECOS Enrollment IDI20080709000714
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55045 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $56.00 – $168.28
Typical copayment $0.00 (range $14.00 – $42.07)
Most-billed visit code NA
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

Counselor (Professional)
12099 LINDSTROM LN
LINDSTROM, MN 55045
Counselor (Professional)
12099 LINDSTROM LN
LINDSTROM, MN 55045

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 Hollibush's NPI number?

The NPI number for Regina Hollibush is 1396910022. It was assigned to this individual provider in the NPPES registry on April 23, 2008.

Where is Regina Hollibush located?

Regina Hollibush practices at 12099 Lindstrom Ln, Lindstrom, MN 55045. The listed phone number is (651) 257-8896.

What is Regina Hollibush's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Regina Hollibush enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Regina Hollibush was last updated on January 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.