Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kimberly G Hollister, MA, LPC, LCMHC

Individual provider Mental Health Counselor · NPI 1740512169

Kimberly G Hollister, MA, LPC, LCMHC is a Mental Health Counselor in Winooski, Vermont. Qualified in 2004, 22 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Texas and Vermont.

Years since qualifying
22
Licensed in
TX, VT
In the registry since
2010
Specialties on file
2
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

20 W Canal St Ste C6
Winooski, VT 05404-2131
Phone: (802) 881-7396
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 068.0092957 (VT)
Mental Health Counselor Taxonomy 101YM0800X · Licence 60549 (TX)

Record details

NPI number1740512169
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , LPC , LCMHC
Sole proprietorYes
NPI enumeratedFebruary 10, 2010
Last updated in NPPESMarch 24, 2014

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Winooski