Individual provider Active NPI

Anesha L Holmes, APRN, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • West Columbia, SC
National Provider Identifier
1043977887
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26149 Issued in SC
Practice address
2490 Fish Hatchery Rd Unit F4
West Columbia, SC 29172-2685
Phone
(803) 404-7421
NPI assigned
Nov 29, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26149 SC Primary

Addresses

Primary practice location

2490 Fish Hatchery Rd Unit F4
West Columbia, SC 29172-2685

Mailing address

2490 Fish Hatchery Rd Unit F4
West Columbia, SC 29172-2685
Phone (803) 404-7421

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL anesha.holmes@yahoo.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240322000071 SC Practitioner - Nurse Practitioner 0648617944 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Charleston Counseling Center PCGroup PAC ID 6204125107, 186 clinicians

Practice addresses (Care Compare)

440 Knox Abbott Dr
Suite 425
Cayce, SC 29033-4353
Phone (843) 501-1099

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
South Carolina Dept of Mental Health Accounting Office Current Accepting new patients
Charleston Counseling Center PC CurrentSince Oct 15, 2024 Accepting new patients
South Carolina Dept of Mental Health Accounting Office CurrentSince Dec 24, 2023 Accepting new patients
South Carolina Department of Mental Health Accounting Office CurrentSince Dec 24, 2023 Accepting new patients
Myrtle Beach Counseling Center PastSince Aug 6, 2019 Accepting new patients

Locations

440 Knox Abbott Dr
Ste 425
Cayce, SC 29033

2715 Colonial Dr
Columbia, SC 29203
Phone (803) 898-4777

1800 Colonial Dr
Columbia, SC 29203
Phone (803) 898-0123

115 Atrium Way
Ste 221
Columbia, SC 29223
Phone (803) 699-8887

871 Lowcountry Blvd
Ste 200
Mt Pleasant, SC 29464
Phone (253) 346-0137

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.aneshaholmes@149035.advancedmd-direct.com

Organizations & group practices 5

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": "1638144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1043977887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2490 FISH HATCHERY RD UNIT F4",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291722685",
            "telephone_number": "803-404-7421",
            "fax_number": "803-898-2194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2490 FISH HATCHERY RD UNIT F4",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291722685",
            "telephone_number": "803-404-7421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "ANESHA",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "APRN, PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-29",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "SC",
            "license": "26149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "anesha.holmes@yahoo.com",
            "affiliation": "N",
            "address_1": "2490 Fish Hatchery Rd Unit F4",
            "city": "West Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "291722685",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Columbia, SC

Sources for this page

Verify at the official NPI Registry.