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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

HOLLY JOHNSON
NPI 1588448203
Counselor - Mental Health in Fort Wayne, IN

Active since August 23, 2023
301 W JEFFERSON BLVD, FORT WAYNE, IN 46802(224) 216-4020 Get Directions Write a Review

NPPES record last updated: October 12, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 12, 2026, Aug 23, 2023 (2 updates tracked since 2023).

About Holly Johnson NPPES

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

HOLLY JOHNSON (NPI 1588448203) is an individual mental health provider in Fort Wayne, Indiana, licensed in Illinois (180.018863) and active in the NPI registry since August 2023.

NPPES Registry Identity

NPI1588448203
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameHOLLY JOHNSON
Location Address301 W JEFFERSON BLVDFort Wayne, IN 46802-3024
Mailing Address301 W Jefferson Blvd Ste 200Fort Wayne, IN 46802-3043 · (224) 216-4020
Phone(224) 216-4020
Sole ProprietorNo
Enumeration DateAugust 23, 2023
Last NPPES UpdateOctober 12, 20262 updates tracked since enumeration
NPPES CertifiedOctober 12, 2026
✔ NPI 1588448203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in IL · 180.018863
301 W JEFFERSON BLVD, Fort Wayne, IN 46802
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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 Johnson's NPI number?

The NPI number for Holly Johnson is 1588448203. It was assigned to this individual provider in the NPPES registry on August 23, 2023.

Where is Holly Johnson located?

Holly Johnson practices at 301 W Jefferson Blvd, Fort Wayne, IN 46802. The listed phone number is (224) 216-4020.

What is Holly Johnson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Holly Johnson was last updated on October 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 days 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.