MS. AMY IONE HOLLE MFT
NPI 1407029291
Marriage & Family Therapist in Fairfax, CA
About Ms. Amy Ione Holle Mft NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. AMY IONE HOLLE MFT (NPI 1407029291) is an individual marriage & family therapist in Fairfax, California, licensed in California (40489) and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS and is a graduate of Other (1996).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ms. Amy Ione Holle Mft is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Amy Holle reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Francisco, CA 94131
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Brightside Medical PC
- 63 clinicians in this Medicare group
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 Amy Holle's NPI number?
The NPI number for Amy Holle is 1407029291. It was assigned to this individual provider in the NPPES registry on April 11, 2008.
Where is Amy Holle located?
Amy Holle practices at 351 Olema Rd, Fairfax, CA 94930. The listed phone number is (415) 847-3112.
What is Amy Holle's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
Is Amy Holle enrolled in Medicare?
Yes. Amy Holle is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Amy Holle's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Amy Holle reassigns Medicare benefits to Brightside Medical, P.C. (San Francisco, 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 Amy Holle'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 Amy Holle was last updated on April 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Ms. Amy Ione Holle, MFT · NPI 1407029291
Marriage & Family Therapist provider in Fairfax, California. Individual provider, active in the CMS NPPES registry since April 11, 2008.
## Identity
- **NPI:** 1407029291 (Entity type: Individual)
- **Enumerated:** April 11, 2008
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **State license:** 40489 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 351 OLEMA RD, Fairfax, CA 94930-1339
- **Phone:** (415) 847-3112
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Brightside Medical, P.C. (NPI 1801355482, San Francisco, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1996
## Record status
- **NPPES last updated:** April 11, 2008
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Source: [NPI Profile](https://npiprofile.com/npi/1407029291) · Data from the CMS NPPES public registry.