Individual provider Active NPI

Kimberly Holmes

  • Professional Counselor
  • Red Lion, PA
National Provider Identifier
1063207686
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC018447 Issued in PA
Practice address
2555 Cape Horn Rd
Red Lion, PA 17356-9057
Phone
(717) 600-0900
NPI assigned
Apr 14, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC018447 PA Primary

Addresses

Primary practice location

2555 Cape Horn Rd
Red Lion, PA 17356-9057

Mailing address

2555 Cape Horn Rd
Red Lion, PA 17356-9057
Phone (717) 600-0900

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

LicenseStateTypeSpecialty
PC018447PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Red Lion Chiropractic, Inc. CurrentSince Apr 20, 2025 Accepting new patients
Pennsylvania Comprehensive Behavioral Health Services, LLC CurrentSince Apr 20, 2025 Accepting new patients

Locations

2555 Cape Horn Rd
Red Lion, PA 17356
Phone (717) 600-0900

Organizations & group practices 2

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": "1744588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1063207686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2555 CAPE HORN RD",
            "city": "RED LION",
            "state": "PA",
            "postal_code": "173569057",
            "telephone_number": "717-600-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 CAPE HORN RD",
            "city": "RED LION",
            "state": "PA",
            "postal_code": "173569057",
            "telephone_number": "717-600-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "KIMBERLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-14",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC018447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Lion, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.