MRS. ANDREA DAWN HOLLEY MSW, LCSW
NPI 1679796189
Counselor - Mental Health in Hugo, OK

Active since April 11, 2007PECOS Enrolled
2402 TANGLEWOOD LN, HUGO, OK 74743(580) 372-0933 Get Directions Write a Review

NPPES record last updated: June 6, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Andrea Dawn Holley Msw, Lcsw NPPES

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

MRS. ANDREA DAWN HOLLEY MSW, LCSW (NPI 1679796189) is an individual mental health provider in Hugo, Oklahoma, licensed in Oklahoma (4060) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679796189
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. ANDREA DAWN HOLLEYCredential: MSW, LCSW
Location Address2402 TANGLEWOOD LNHugo, OK 74743-8507
Mailing Address2402 Tanglewood LnHugo, OK 74743-8507 · (580) 372-0933
Sole ProprietorYes
Enumeration DateApril 11, 2007
Last NPPES UpdateJune 6, 2024
NPPES CertifiedJune 6, 2024
NPI 1679796189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in OK · 4060
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
2402 TANGLEWOOD LN, Hugo, OK 74743

Other Names 1

Former Name (1)Mr. Andrea Dawn Rolf Ba, Bhrs

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. Andrea Dawn Holley Msw, Lcsw 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.

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 Andrea Holley's NPI number?

The NPI number for Andrea Holley is 1679796189. It was assigned to this individual provider in the NPPES registry on April 11, 2007. The provider is also known as Mr. Andrea Dawn Rolf Ba, Bhrs.

Where is Andrea Holley located?

Andrea Holley practices at 2402 Tanglewood Ln, Hugo, OK 74743. The listed phone number is (580) 372-0933.

What is Andrea Holley's specialty?

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

Is Andrea Holley enrolled in Medicare?

Yes. Andrea Holley is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Andrea Holley was last updated on June 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.