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HOLLY HALL AMFT
NPI 1568017200
Marriage & Family Therapist in Long Beach, CA

Active since August 08, 2019Opted out of Medicare · through May 19, 2027
5150 E PACIFIC COAST HWY, LONG BEACH, CA 90804(562) 490-7600 Get Directions Write a Review

NPPES record last updated: March 30, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 30, 2020, Aug 8, 2019 (2 updates tracked since 2019).

About Holly Hall Amft NPPES

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

HOLLY HALL AMFT (NPI 1568017200) is an individual marriage & family therapist in Long Beach, California, licensed in California (112086) and active in the NPI registry since August 2019. She has opted out of Medicare through May 19, 2027.

NPPES Registry Identity

NPI1568017200
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameHOLLY HALLCredential: AMFT
Location Address5150 E PACIFIC COAST HWYLong Beach, CA 90804-3312
Mailing AddressPo Box 503Los Alamitos, CA 90720-0503
Phone(562) 490-7600
Sole ProprietorNo
Enumeration DateAugust 8, 2019
Last NPPES UpdateMarch 30, 20202 updates tracked since enumeration
NPPES CertifiedMarch 30, 2020
✔ NPI 1568017200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 112086
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.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
5150 E PACIFIC COAST HWY, Long Beach, CA 90804
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Holly Hall Amft has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 19, 2025 through May 19, 2027.

Opt-Out Effective DateMay 19, 2025
Opt-Out In Effect ThroughMay 19, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

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

ROXANNE LUNA B.A.
Marriage & Family Therapist
5150 E PACIFIC COAST HWY, SUITE 100
LONG BEACH, CA 90804
Los Angeles County (562) 490-7600
JOHN G ISSA MD
Hospitalist
5150 E PACIFIC COAST HWY, SUITE 500
LONG BEACH, CA 90804
Los Angeles County (562) 491-9883
BRAD SCOTT
Marriage & Family Therapist
5150 E PACIFIC COAST HWY, SUITE 100
LONG BEACH, CA 90804
Los Angeles County (562) 490-7600
MS. VIOLETA YARENE ESTRADA
Marriage & Family Therapist
5150 E PACIFIC COAST HWY
LONG BEACH, CA 90804
Los Angeles County (562) 490-7720
REINA ELAINE PETERSON MS, AMFT, APCC
Marriage & Family Therapist
5150 E PACIFIC COAST HWY
LONG BEACH, CA 90804
Los Angeles County (562) 490-7600
BLANCA VARGAS
Community Health Worker
5150 E PACIFIC COAST HWY
LONG BEACH, CA 90804
Los Angeles County (562) 490-7600
JOHN PAUL VAIL
Marriage & Family Therapist
5150 E PACIFIC COAST HWY, SUITE 100
LONG BEACH, CA 90804
Los Angeles County (562) 490-7600
GISELLE DE CERDA
Marriage & Family Therapist
5150 E PACIFIC COAST HWY
LONG BEACH, CA 90804
Los Angeles County (562) 490-7600

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 Holly Hall's NPI number?

The NPI number for Holly Hall is 1568017200. It was assigned to this individual provider in the NPPES registry on August 8, 2019.

Where is Holly Hall located?

Holly Hall practices at 5150 E Pacific Coast Hwy, Long Beach, CA 90804. The listed phone number is (562) 490-7600.

What is Holly Hall's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Holly Hall enrolled in Medicare?

No. Holly Hall has opted out of Medicare through May 19, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Holly Hall was last updated on March 30, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.