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SHAWN HOLLAND
NPI 1760879688
Counselor - Mental Health in Amityville, NY

Active since April 17, 2015PECOS EnrolledAccepts Medicare Assignment
21 GREENE AVE # 204, AMITYVILLE, NY 11701(516) 743-8571 Get Directions Write a Review

NPPES record last updated: February 9, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Shawn Holland NPPES

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

SHAWN HOLLAND (NPI 1760879688) is an individual mental health provider in Amityville, New York, licensed in New York (008697) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1760879688
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameSHAWN HOLLAND
Location Address21 GREENE AVE # 204Amityville, NY 11701-2943
Mailing Address350 Mariners WayCopiague, NY 11726-5113
Phone(516) 743-8571
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateApril 17, 2015
Last NPPES UpdateFebruary 9, 2020
✔ NPI 1760879688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NY · 008697
21 GREENE AVE # 204, Amityville, NY 11701
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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

Shawn Holland 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 ID1951744432
PECOS Enrollment IDI20240212003493
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 Shawn Holland's NPI number?

The NPI number for Shawn Holland is 1760879688. It was assigned to this individual provider in the NPPES registry on April 17, 2015.

Where is Shawn Holland located?

Shawn Holland practices at 21 Greene Ave # 204, Amityville, NY 11701. The listed phone number is (516) 743-8571.

What is Shawn Holland's specialty?

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

Is Shawn Holland enrolled in Medicare?

Yes. Shawn 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.

What insurance does Shawn Holland accept?

Health plans from Providence Health Plan list Shawn Holland 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 Shawn Holland was last updated on February 9, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.