1. Home
  2. Directory
  3. Georgia
  4. Loganville
  5. Counselor
  6. NPI Profile

MS. SHANTALIEA HOLLOWAY LPC
NPI 1437870771
Counselor - Professional in Loganville, GA

Active since September 06, 2022PECOS EnrolledAccepts Medicare Assignment
1551 ROSE GARDEN LN, LOGANVILLE, GA 30052(678) 913-8032 Get Directions Write a Review

NPPES record last updated: September 6, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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

NPI1437870771
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. SHANTALIEA HOLLOWAYCredential: LPC
Location Address1551 ROSE GARDEN LNLoganville, GA 30052-2467
Mailing AddressPo Box 648Grayson, GA 30017-0011 · (678) 913-8032
Phone(678) 913-8032
Sole ProprietorYes
Medical School CMSOtherGraduated 2001
Enumeration DateSeptember 6, 2022
NPPES CertifiedSeptember 6, 2022
✔ NPI 1437870771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in GA · LPC005114
1551 ROSE GARDEN LN, Loganville, GA 30052
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

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.

PECOS PAC ID8426570805
PECOS Enrollment IDI20250314000467
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.

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.

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 3 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.