MRS. PAULA VANESSA HOLLOWAY MED LMFT
NPI 1508960204
Marriage & Family Therapist in Johnson City, TN

Active since September 12, 2006PECOS Enrolled
109 WEST WATAUGA AVENUE, JOHNSON CITY, TN 37604(423) 232-2700 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Paula Vanessa Holloway Med Lmft NPPES

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

MRS. PAULA VANESSA HOLLOWAY MED LMFT (NPI 1508960204) is an individual marriage & family therapist in Johnson City, Tennessee, licensed in Tennessee (LMT238) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508960204
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMRS. PAULA VANESSA HOLLOWAYCredential: MED LMFT
Location Address109 WEST WATAUGA AVENUEJohnson City, TN 37604
Mailing AddressPo Box 9054Gray, TN 37615-9054 · (423) 467-3600 · Fax (423) 467-3696
Sole ProprietorNo
Enumeration DateSeptember 12, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1508960204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License Licensed in TN · LMT238
Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

109 WEST WATAUGA AVENUE, Johnson City, TN 37604

Other Names 1

Former Name (1)Paula Vanessa Gothard

Other Identifiers 5

Other62058260566Ubh John Deere
Other3085403Magellan Summit
Other3085403Magellan Navigator
Other3085403Magellan Pinnacle
Other334969Value Options Group

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mrs. Paula Vanessa Holloway Med Lmft 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.

Other Providers at the Same Location NPPES 6

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

Marriage & Family Therapist
109 WEST WATAUGA AVENUE
JOHNSON CITY, TN 37604
Case Manager/Care Coordinator
109 WEST WATAUGA AVENUE
JOHNSON CITY, TN 37604
Social Worker
109 WEST WATAUGA AVENUE
JOHNSON CITY, TN 37604
Counselor
109 WEST WATAUGA AVENUE, WATAUGA C&Y
JOHNSON CITY, TN 37604
Counselor (Professional)
109 WEST WATAUGA AVENUE
JOHNSON CITY, TN 37604
Psychiatry & Neurology (Psychiatry)
109 WEST WATAUGA AVENUE
JOHNSON CITY, TN 37604

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508960204, enumerated as an "individual" on September 12, 2006.

The provider is located at 109 WEST WATAUGA AVENUE JOHNSON CITY, TN 37604 and the phone number is (423) 232-2700.

Marriage & Family Therapist with taxonomy code 106H00000X.

The provider might be accepting Accepts: Medicare, Medicaid and Magellan Health. Please consult your insurance carrier or call the provider to verify.