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HOLLY BLOCK MA, NCC
NPI 1982260113
Counselor - Professional in Roseburg, OR

Active since May 13, 2019PECOS Enrolled
621 W MADRONE ST, ROSEBURG, OR 97470(541) 672-2691 Get Directions Write a Review

NPPES record last updated: August 3, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 3, 2022, Jul 12, 2022, May 13, 2019 (3 updates tracked since 2019).

About Holly Block Ma, Ncc NPPES

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

HOLLY BLOCK MA, NCC (NPI 1982260113) is an individual professional provider in Roseburg, Oregon, licensed in Oregon (R6746) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1982260113
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameHOLLY BLOCKCredential: MA, NCC
Location Address621 W MADRONE STRoseburg, OR 97470-3090
Mailing Address548 Se Jackson StRoseburg, OR 97470-4983 · (541) 672-2691
Phone(541) 672-2691
Sole ProprietorNo
Enumeration DateMay 13, 2019
Last NPPES UpdateAugust 3, 20223 updates tracked since enumeration
NPPES CertifiedAugust 3, 2022
✔ NPI 1982260113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in OR · R6746
621 W MADRONE ST, Roseburg, OR 97470
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Holly Block Ma, Ncc 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.

Medicare Billing Reassignment

Medicare enrollment records show Holly Block reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Adapt
Same address
Community/Behavioral Health
621 W MADRONE ST
Roseburg, OR 97470
  • Reassigned Medicare billing, Oregon enrollment
  • 83 clinicians in this Medicare group
NPI 1639682883 (541) 492-0241

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

WILLIAM F SHOBE JR. LMFT
Marriage & Family Therapist
621 W MADRONE ST
ROSEBURG, OR 97470
Douglas County (541) 492-4550
HEATHER IRENE JOHNSON MSW
Social Worker
621 W MADRONE ST
ROSEBURG, OR 97470
Douglas County (541) 440-3532
URIAH HEATH YRAGUEN
Peer Specialist
621 W MADRONE ST
ROSEBURG, OR 97470
Douglas County (541) 672-2691
MR. DALE EDWARD WILLIAMS MC, LPC
Counselor (Mental Health)
621 W MADRONE ST
ROSEBURG, OR 97470
Douglas County (541) 440-3532
EMILY TUCKER LPC NCC
Counselor (Professional)
621 W MADRONE ST
ROSEBURG, OR 97470
Douglas County (541) 672-2691
INGER C BOYD MA ED., BS
Counselor
621 W MADRONE ST
ROSEBURG, OR 97470
Douglas County (541) 440-3532
MAE L HOOPES
Counselor (Addiction (Substance Use Disorder))
621 W MADRONE ST
ROSEBURG, OR 97470
Douglas County (541) 672-2691
JENNIFER DIANE LOWRY
Counselor (Mental Health)
621 W MADRONE ST
ROSEBURG, OR 97470
Douglas County (541) 440-3532

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 Block's NPI number?

The NPI number for Holly Block is 1982260113. It was assigned to this individual provider in the NPPES registry on May 13, 2019.

Where is Holly Block located?

Holly Block practices at 621 W Madrone St, Roseburg, OR 97470. The listed phone number is (541) 672-2691.

What is Holly Block's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Holly Block enrolled in Medicare?

Yes. Holly Block is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Holly Block's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Holly Block reassigns Medicare benefits to Adapt (Roseburg, OR). 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 Holly Block's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Holly Block accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and Regence BlueCross BlueShield of Oregon list Holly Block 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 Block was last updated on August 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.