KIMBERLY G HOLLISTER M.A., LPC, LCMHC
NPI 1740512169
Counselor - Mental Health in Winooski, VT

Active since February 10, 2010PECOS EnrolledAccepts Medicare Assignment
20 W CANAL ST, STE C6, WINOOSKI, VT 05404(802) 881-7396 Get Directions Write a Review

NPPES record last updated: March 24, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kimberly G Hollister M.a., Lpc, Lcmhc NPPES

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

KIMBERLY G HOLLISTER M.A., LPC, LCMHC (NPI 1740512169) is an individual mental health provider in Winooski, Vermont, licensed in Vermont (068.0092957) and active in the NPI registry since February 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1740512169
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKIMBERLY G HOLLISTERCredential: M.A., LPC, LCMHC
Location Address20 W CANAL ST, STE C6Winooski, VT 05404-2131
Mailing Address20 W Canal St, Ste C6Winooski, VT 05404-2131 · (802) 881-7396
Sole ProprietorYes
Medical School CMSOtherGraduated 2004
Enumeration DateFebruary 10, 2010
Last NPPES UpdateMarch 24, 2014
NPI 1740512169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses Licensed in VT · 068.0092957 Licensed in TX · 60549
20 W CANAL ST, Winooski, VT 05404

Accepted Insurance

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

Kimberly G Hollister M.a., Lpc, Lcmhc 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 ID7810426590
PECOS Enrollment IDI20250124001522
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.

Other Providers at the Same Location NPPES 10

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

Psychologist (Clinical)
20 W CANAL ST, SUITE C-11
WINOOSKI, VT 05404
Counselor (Mental Health)
20 W CANAL ST, SUITE C/2
WINOOSKI, VT 05404
Counselor (Mental Health)
20 W CANAL ST
WINOOSKI, VT 05404
Counselor (Addiction (Substance Use Disorder))
20 W CANAL ST, SUITE C2
WINOOSKI, VT 05404
Counselor (Addiction (Substance Use Disorder))
20 W CANAL ST
WINOOSKI, VT 05404
Counselor (Mental Health)
20 W CANAL ST, SUITE C2
WINOOSKI, VT 05404
Nurse Practitioner (Adult Health)
20 W CANAL ST, SUITE C1
WINOOSKI, VT 05404
Nurse Practitioner (Family)
20 W CANAL ST, SUITE #C1
WINOOSKI, VT 05404

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 Kimberly Hollister's NPI number?

The NPI number for Kimberly Hollister is 1740512169. It was assigned to this individual provider in the NPPES registry on February 10, 2010.

Where is Kimberly Hollister located?

Kimberly Hollister practices at 20 W Canal St Ste C6, Winooski, VT 05404. The listed phone number is (802) 881-7396.

What is Kimberly Hollister's specialty?

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

Is Kimberly Hollister enrolled in Medicare?

Yes. Kimberly Hollister 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.

What insurance does Kimberly Hollister accept?

Health plans from Anthem Blue Cross and Blue Shield list Kimberly Hollister as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kimberly Hollister was last updated on March 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.