Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Holly S Whitaker, MA, LPCC

Individual provider Pastoral Counselor · NPI 1205970761

Holly S Whitaker, MA, LPCC is a Mental Health Counselor in Saint Paul, Minnesota. Qualified in 2003, 23 years ago. Practices with Rush Inc, a 19-clinician group. Licensed in Minnesota and Ohio.

Years since qualifying
23
Licensed in
MN, OH
In the registry since
2007
Specialties on file
3
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
LPCC — Licensed Professional Clinical Counselor
The title some states use for a licensed clinical counsellor.

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Practice location Address checks out

1360 Energy Park Dr Ste 330
Saint Paul, MN 55108-5298
Phone: (651) 439-2059
Fax: (888) 675-8262
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence CC01515 (MN)
Pastoral Counselor Taxonomy 101YP1600X · Licence E0008095 (OH)
Professional Counselor Taxonomy 101YP2500X · Licence E0008095 (OH)

Record details

NPI number1205970761
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , LPCC
Sole proprietorNo
NPI enumeratedFebruary 17, 2007
Last updated in NPPESNovember 5, 2020
Certification dateNovember 5, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Rush Inc — 19 clinicians
Accepts Medicare assignment Not indicated

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