TINA HOLLAND LCSW
NPI 1699179408
Substance Abuse Rehabilitation Facility in Boston, MA
About Tina Holland Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TINA HOLLAND LCSW (NPI 1699179408) is an individual substance abuse rehabilitation facility provider in Boston, Massachusetts, licensed in Massachusetts (217764) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2005).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Tina Holland Lcsw 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.
Medicare Billing Reassignment
Medicare enrollment records show Tina Holland reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
East Boston, MA 02128
- Reassigned Medicare billing, Massachusetts enrollment
- 37 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Reported Quality Measures
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 Tina Holland's NPI number?
The NPI number for Tina Holland is 1699179408. It was assigned to this individual provider in the NPPES registry on October 22, 2014.
Where is Tina Holland located?
Tina Holland practices at 39 Kingston Street, Boston, MA 02111. The listed phone number is (617) 338-9000.
What is Tina Holland's specialty?
The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.
Is Tina Holland enrolled in Medicare?
Yes. Tina 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.
Which organization bills Medicare for Tina Holland's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tina Holland reassigns Medicare benefits to North Suffolk Community Services Inc. (East Boston, MA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tina Holland's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Tina Holland was last updated on January 31, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Tina Holland, LCSW · NPI 1699179408
Substance Abuse Rehabilitation Facility provider in Boston, Massachusetts. Individual provider, active in the CMS NPPES registry since October 22, 2014.
## Identity
- **NPI:** 1699179408 (Entity type: Individual)
- **Enumerated:** October 22, 2014
- **Primary specialty:** Substance Abuse Rehabilitation Facility · taxonomy 324500000X
- **State license:** 217764 (Massachusetts)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 39 KINGSTON STREET, Boston, MA 02111
- **Phone:** (617) 338-9000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** North Suffolk Community Services Inc. (NPI 1740209881, East Boston, MA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2005
## Record status
- **NPPES last updated:** January 31, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1699179408) · Data from the CMS NPPES public registry.