SAMUEL W HOLLAND LPC
NPI 1669249850
Counselor - Professional in Cuba, MO

Active since December 07, 2023PECOS EnrolledAccepts Medicare Assignment
1198 MARTIN ST, CUBA, MO 65453(844) 853-8937 Get Directions Write a Review

NPPES record last updated: November 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 18, 2025, Dec 7, 2023 (2 updates tracked since 2023).

About Samuel W Holland Lpc NPPES

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

SAMUEL W HOLLAND LPC (NPI 1669249850) is an individual professional provider in Cuba, Missouri, licensed in Missouri (2025049213) and active in the NPI registry since December 2023. He is enrolled in Medicare PECOS, maintains a secondary practice location in Sullivan, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1669249850
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameSAMUEL W HOLLANDCredential: LPC
Location Address1198 MARTIN STCuba, MO 65453-1656
Mailing Address1800 CommunityClinton, MO 64735-8804 · (660) 885-8131
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateDecember 7, 2023
Last NPPES UpdateNovember 18, 20252 updates tracked since enumeration
NPPES CertifiedNovember 18, 2025
NPI 1669249850 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 MO · 2025049213
1198 MARTIN ST, Cuba, MO 65453

Secondary Practice Location 1

Location 1101 Progress PkwySullivan, MO 63080-2359 · Phone (844) 853-8937

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Samuel W Holland Lpc 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 ID244722882
PECOS Enrollment IDI20251121002302
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.

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 Samuel Holland's NPI number?

The NPI number for Samuel Holland is 1669249850. It was assigned to this individual provider in the NPPES registry on December 7, 2023.

Where is Samuel Holland located?

Samuel Holland practices at 1198 Martin St, Cuba, MO 65453. The listed phone number is (844) 853-8937.

What is Samuel Holland's specialty?

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

Is Samuel Holland enrolled in Medicare?

Yes. Samuel Holland 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.

When was this NPI record last updated?

The NPPES record for Samuel Holland was last updated on November 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.