Individual provider Active NPI

Holly Rogers Deloach

  • Mental Health Counselor
  • Houston, TX
National Provider Identifier
1043175672
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
90429 Issued in TX
Practice address
2200 Space Park Dr
Houston, TX 77058-3677
Phone
(832) 225-8639
NPI assigned
Dec 17, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 90429 TX Primary

Addresses

Primary practice location

2200 Space Park Dr
Houston, TX 77058-3677

Mailing address

2200 Space Park Dr
Houston, TX 77058-3677
Phone (832) 225-8639

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260203001992 TX Practitioner - Mental Health Counselor 2769960418 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1345 Mendota Heights Rd
Mendota Heights, MN 55120-1129

6300 W Loop S
Suite 110
Bellaire, TX 77401-2919

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
90429TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bellaire Ellie Clinic PC Mental Health CurrentSince Dec 27, 2025 Accepting new patients

Locations

6300 West Loop S
Ste 110
Bellaire, TX 77401
Phone (832) 924-0348

2323 S Shepherd Dr
Ste 850
Houston, TX 77019
Phone (713) 309-6763

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1765929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765929600000",
    "number": "1043175672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 SPACE PARK DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770583677",
            "telephone_number": "832-225-8639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 SPACE PARK DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770583677",
            "telephone_number": "832-225-8639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELOACH",
        "first_name": "HOLLY",
        "middle_name": "ROGERS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-12-17",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "90429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.