MICHAEL JAMES HOLLINGSWORTH LCPC
NPI 1609046598
Counselor - Professional in Meridian, ID

Active since March 06, 2008Opted out of Medicare · through Aug 21, 2026
403 W CHERRY LN, MERIDIAN, ID 83642(208) 887-1911 Get Directions Write a Review

NPPES record last updated: April 11, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Michael James Hollingsworth Lcpc NPPES

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

MICHAEL JAMES HOLLINGSWORTH LCPC (NPI 1609046598) is an individual professional provider in Meridian, Idaho, licensed in Idaho (LCPC-6521) and active in the NPI registry since March 2008. He has opted out of Medicare through August 21, 2026.

NPPES Registry Identity

NPI1609046598
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMICHAEL JAMES HOLLINGSWORTHCredential: LCPC
Location Address403 W CHERRY LNMeridian, ID 83642-1610
Mailing Address1825 Marika RdFairbanks, AK 99709-5521
Sole ProprietorYes
Enumeration DateMarch 6, 2008
Last NPPES UpdateApril 11, 2022
NPPES CertifiedApril 11, 2022
NPI 1609046598 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 ID · LCPC-6521
403 W CHERRY LN, Meridian, ID 83642

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Michael James Hollingsworth Lcpc 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 August 21, 2024 through August 21, 2026.

Opt-Out Effective DateAugust 21, 2024
Opt-Out In Effect ThroughAugust 21, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 16

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

Counselor (Mental Health)
403 W CHERRY LN
MERIDIAN, ID 83642
Social Worker (Clinical)
403 W CHERRY LN
MERIDIAN, ID 83642
Social Worker (Clinical)
403 W CHERRY LN
MERIDIAN, ID 83642
Counselor (Mental Health)
403 W CHERRY LN
MERIDIAN, ID 83642
Counselor (Mental Health)
403 W CHERRY LN
MERIDIAN, ID 83642
Marriage & Family Therapist
403 W CHERRY LN
MERIDIAN, ID 83642
Counselor (Mental Health)
403 W CHERRY LN
MERIDIAN, ID 83642
Counselor (Professional)
403 W CHERRY LN
MERIDIAN, ID 83642

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 Michael Hollingsworth's NPI number?

The NPI number for Michael Hollingsworth is 1609046598. It was assigned to this individual provider in the NPPES registry on March 6, 2008.

Where is Michael Hollingsworth located?

Michael Hollingsworth practices at 403 W Cherry Ln, Meridian, ID 83642. The listed phone number is (208) 887-1911.

What is Michael Hollingsworth's specialty?

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

Is Michael Hollingsworth enrolled in Medicare?

No. Michael Hollingsworth has opted out of Medicare through August 21, 2026. 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 Michael Hollingsworth was last updated on April 11, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.