SAMUEL LAWRENCE HOLLEY
NPI 1447719489
Psychiatry & Neurology - Psychiatry in Twin Falls, ID

Active since March 19, 2019PECOS Enrolled
815 N COLLEGE RD, TWIN FALLS, ID 83301(208) 814-9100(208) 814-9903 Get Directions Write a Review

NPPES record last updated: August 13, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 13, 2024, Mar 8, 2023, Mar 1, 2023 and 4 more (7 updates tracked since 2019).

About Samuel Lawrence Holley NPPES

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

SAMUEL LAWRENCE HOLLEY (NPI 1447719489) is an individual psychiatry provider in Twin Falls, Idaho, licensed in Idaho (O-2013) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1447719489
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameSAMUEL LAWRENCE HOLLEY
Location Address815 N COLLEGE RDTwin Falls, ID 83301-3484
Mailing Address190 E Bannock StBoise, ID 83712-6241
Fax(208) 814-9903
Sole ProprietorNo
Enumeration DateMarch 19, 2019
Last NPPES UpdateAugust 13, 20247 updates tracked since enumeration
NPPES CertifiedAugust 13, 2024
NPI 1447719489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses Licensed in ID · O-2013 Licensed in WA · OP61406164
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedCounselorTaxonomy 101Y00000X · License CG61210477 (WA)
815 N COLLEGE RD, Twin Falls, ID 83301

Secondary Practice Locations 2

Location 1131 S Division StSpokane, WA 99202-1510 · Phone (509) 838-4651
Location 2101 W 8th AveSpokane, WA 99204-2307 · Phone (435) 253-1201

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Samuel Lawrence Holley is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 83301 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
$160.17 typical visit price
range $52.44 – $160.17
Typical copayment $40.04 (range $13.11 – $40.04)
Most-billed visit code 99205
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
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 15

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

Nurse Practitioner (Psychiatric/Mental Health)
815 N COLLEGE RD
TWIN FALLS, ID 83301
Social Worker (Clinical)
815 N COLLEGE RD
TWIN FALLS, ID 83301
Nurse Practitioner (Psychiatric/Mental Health)
815 N COLLEGE RD
TWIN FALLS, ID 83301
Psychiatry & Neurology (Psychiatry)
815 N COLLEGE RD
TWIN FALLS, ID 83301
Psychiatry & Neurology (Psychiatry)
815 N COLLEGE RD
TWIN FALLS, ID 83301
Psychologist
815 N COLLEGE RD
TWIN FALLS, ID 83301
Psychiatry & Neurology (Psychiatry)
815 N COLLEGE RD
TWIN FALLS, ID 83301
Psychiatry & Neurology (Psychiatry)
815 N COLLEGE RD
TWIN FALLS, ID 83301

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 Samuel Holley's NPI number?

The NPI number for Samuel Holley is 1447719489. It was assigned to this individual provider in the NPPES registry on March 19, 2019.

Where is Samuel Holley located?

Samuel Holley practices at 815 N College Rd, Twin Falls, ID 83301. The listed phone number is (208) 814-9100.

What is Samuel Holley's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Samuel Holley enrolled in Medicare?

Yes. Samuel Holley is registered in the Medicare PECOS enrollment system.

What insurance does Samuel Holley accept?

Health plans from Moda Health Plan, Inc. and Providence Health Plan list Samuel Holley as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Samuel Holley was last updated on August 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.