MS. HOLLY LYNN SODERSTROM LMHC
NPI 1942398912
Counselor - Mental Health in Quincy, MA

Active since October 11, 2006Opted out of Medicare · through Sep 11, 2026
460 QUINCY AVE, QUINCY, MA 02169(617) 689-2516 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Holly Lynn Soderstrom Lmhc NPPES

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

MS. HOLLY LYNN SODERSTROM LMHC (NPI 1942398912) is an individual mental health provider in Quincy, Massachusetts, licensed in Massachusetts (5922) and active in the NPI registry since October 2006. She has opted out of Medicare through September 11, 2026.

NPPES Registry Identity

NPI1942398912
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. HOLLY LYNN SODERSTROMCredential: LMHC
Location Address460 QUINCY AVEQuincy, MA 02169-8130
Mailing Address7 Germain AveQuincy, MA 02169-7107 · (617) 689-2516
Sole ProprietorNo
Enumeration DateOctober 11, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1942398912 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 MA · 5922
460 QUINCY AVE, Quincy, MA 02169

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Ms. Holly Lynn Soderstrom Lmhc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from September 11, 2024 through September 11, 2026.

Opt-Out Effective DateSeptember 11, 2024
Opt-Out In Effect ThroughSeptember 11, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

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

Counselor (Mental Health)
460 QUINCY AVE
QUINCY, MA 02169
Counselor (Mental Health)
460 QUINCY AVE
QUINCY, MA 02169
Clinical Nurse Specialist (Psychiatric/Mental Health, Adult)
460 QUINCY AVE
QUINCY, MA 02169
Counselor (Mental Health)
460 QUINCY AVE
QUINCY, MA 02169
Case Manager/Care Coordinator
460 QUINCY AVE
QUINCY, MA 02169
Health Educator
460 QUINCY AVE
QUINCY, MA 02169
Social Worker (Clinical)
460 QUINCY AVE, SOUTH SHORE MENTAL HEALTH
QUINCY, MA 02169
Registered Nurse
460 QUINCY AVE
QUINCY, MA 02169

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 Holly Soderstrom's NPI number?

The NPI number for Holly Soderstrom is 1942398912. It was assigned to this individual provider in the NPPES registry on October 11, 2006.

Where is Holly Soderstrom located?

Holly Soderstrom practices at 460 Quincy Ave, Quincy, MA 02169. The listed phone number is (617) 689-2516.

What is Holly Soderstrom's specialty?

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

Is Holly Soderstrom enrolled in Medicare?

No. Holly Soderstrom has opted out of Medicare through September 11, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Holly Soderstrom accept?

Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Holly Soderstrom 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 Holly Soderstrom was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.