MS. SHANTALIEA HOLLOWAY LPC
NPI 1437870771
Counselor - Professional in Loganville, GA
About Ms. Shantaliea Holloway Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. SHANTALIEA HOLLOWAY LPC (NPI 1437870771) is an individual professional provider in Loganville, Georgia, licensed in Georgia (LPC005114) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2001).
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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. Shantaliea Holloway Lpc 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 Reassignments
2Medicare enrollment records show Shantaliea Holloway reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Alpharetta, GA 30005
- Reassigned Medicare billing, Georgia enrollment
- 3 clinicians in this Medicare group
Cartersville, GA 30120
- Reassigned Medicare billing, Georgia enrollment
- 32 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 Shantaliea Holloway's NPI number?
The NPI number for Shantaliea Holloway is 1437870771. It was assigned to this individual provider in the NPPES registry on September 6, 2022.
Where is Shantaliea Holloway located?
Shantaliea Holloway practices at 1551 Rose Garden Ln, Loganville, GA 30052. The listed phone number is (678) 913-8032.
What is Shantaliea Holloway's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Shantaliea Holloway enrolled in Medicare?
Yes. Shantaliea Holloway 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 organizations bill Medicare for Shantaliea Holloway's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shantaliea Holloway reassigns Medicare benefits to 2 organizations: Hope 12 12 LLC (Alpharetta, GA) and Vitae Health Medical Georgia LLC (Cartersville, GA). Each 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 Shantaliea 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 Shantaliea Holloway was last updated on September 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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. Shantaliea Holloway, LPC · NPI 1437870771
Professional provider in Loganville, Georgia. Individual provider, active in the CMS NPPES registry since September 6, 2022.
## Identity
- **NPI:** 1437870771 (Entity type: Individual)
- **Enumerated:** September 6, 2022
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** LPC005114 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1551 ROSE GARDEN LN, Loganville, GA 30052-2467
- **Phone:** (678) 913-8032
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Hope 12 12 LLC (NPI 1124879853, Alpharetta, GA); Vitae Health Medical Georgia LLC (NPI 1184320574, Cartersville, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2001
## Record status
- **NPPES last updated:** September 6, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1437870771) · Data from the CMS NPPES public registry.