HALEY VICTORIA HOLLIS LCPC-C
NPI 1467259200
Counselor - Professional in Yarmouth, ME

Active since February 28, 2025PECOS EnrolledAccepts Medicare Assignment
60 FOREST FALLS DR STE 1, YARMOUTH, ME 04096(207) 200-7279 Get Directions Write a Review

NPPES record last updated: March 11, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 11, 2025, Feb 28, 2025 (2 updates tracked since 2025).

About Haley Victoria Hollis Lcpc-c NPPES

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

HALEY VICTORIA HOLLIS LCPC-C (NPI 1467259200) is an individual professional provider in Yarmouth, Maine, licensed in Maine (XL7965) and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1467259200
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameHALEY VICTORIA HOLLISCredential: LCPC-C
Location Address60 FOREST FALLS DR STE 1Yarmouth, ME 04096-6971
Mailing Address60 Forest Falls Dr Ste 1Yarmouth, ME 04096-6971 · (207) 200-7279
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateFebruary 28, 2025
Last NPPES UpdateMarch 11, 20252 updates tracked since enumeration
NPPES CertifiedMarch 11, 2025
✔ NPI 1467259200 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 ME · XL7965
60 FOREST FALLS DR STE 1, Yarmouth, ME 04096

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

Haley Victoria Hollis Lcpc-c 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 ID8820513047
PECOS Enrollment IDI20250421002461
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.

Medicare Billing Reassignment

Medicare enrollment records show Haley Hollis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community/Behavioral Health
306 RODMAN RD
Auburn, ME 04210
  • Reassigned Medicare billing, Maine enrollment
  • 269 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.

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.

Nurse Practitioner (Family)
60 FOREST FALLS DR STE 1
YARMOUTH, ME 04096
Acupuncturist
60 FOREST FALLS DR STE 1
YARMOUTH, ME 04096

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 Haley Hollis's NPI number?

The NPI number for Haley Hollis is 1467259200. It was assigned to this individual provider in the NPPES registry on February 28, 2025.

Where is Haley Hollis located?

Haley Hollis practices at 60 Forest Falls Dr Ste 1, Yarmouth, ME 04096. The listed phone number is (207) 200-7279.

What is Haley Hollis's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Haley Hollis enrolled in Medicare?

Yes. Haley Hollis 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 Haley Hollis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Haley Hollis reassigns Medicare benefits to Health Affiliates Maine, LLC (Auburn, ME). 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 Haley Hollis'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 Haley Hollis was last updated on March 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.