MRS. REGINA HOLLIBUSH LCSW
NPI 1396910022
Social Worker - Clinical in Lindstrom, MN
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
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Regina Hollibush Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Regina Hollibush reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lindstrom, MN 55045
- Reassigned Medicare billing, Minnesota enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
Which organization bills Medicare for Regina Hollibush's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Regina Hollibush reassigns Medicare benefits to Bamboo Counseling Services PLLC (Lindstrom, MN). 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 Hollibush'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 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 21 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.
# Mrs. Regina Hollibush, LCSW · NPI 1396910022
Clinical provider in Lindstrom, Minnesota. Individual provider, active in the CMS NPPES registry since April 23, 2008.
## Identity
- **NPI:** 1396910022 (Entity type: Individual)
- **Enumerated:** April 23, 2008
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 18910 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 12099 LINDSTROM LN, Lindstrom, MN 55045-9543
- **Phone:** (651) 257-8896
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Bamboo Counseling Services PLLC (NPI 1437691128, Lindstrom, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1999
## Record status
- **NPPES last updated:** January 15, 2025
- **Other identifiers:** Medicaid 43588300 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1396910022) · Data from the CMS NPPES public registry.