Active NPI
Ayanna Holguin
- Social Worker
- Rome, GA
National Provider Identifier
1023977311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 109 John Maddox Dr NW Ste 202
Rome, GA 30165-1451 - Phone
- (706) 766-0137
- NPI assigned
- Jan 21, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | GA | Primary |
Addresses
Primary practice location
109 John Maddox Dr NW Ste 202
Rome, GA 30165-1451
Mailing address
109 John Maddox Dr NW Ste 202
Rome, GA 30165-1451
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P023365 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mindful Expressions Counseling PLLC | Clinical | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Southport, NC
- NPI 1134894850
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1768953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787097600000",
"number": "1023977311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 JOHN MADDOX DR NW STE 202",
"city": "ROME",
"state": "GA",
"postal_code": "301651451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 JOHN MADDOX DR NW STE 202",
"city": "ROME",
"state": "GA",
"postal_code": "301651451",
"telephone_number": "706-766-0137"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLGUIN",
"first_name": "AYANNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-01-21",
"last_updated": "2026-08-19",
"certification_date": "2026-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "GA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rome, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.