Individual provider Active NPI

Holly Anne Reeves, LPC

  • Professional Counselor
  • Pascagoula, MS
National Provider Identifier
1063761328
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1695 Issued in MS
Practice address
5009 Telephone Rd
Pascagoula, MS 39567-1832
Phone
(228) 875-6113
Fax
(228) 875-9065
NPI assigned
Sep 2, 2012
Last updated
May 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 1695 MS
Professional Counselor 101YP2500X 1695 MS Primary

Addresses

Primary practice location

5009 Telephone Rd
Pascagoula, MS 39567-1832

Mailing address

PO Box 1073
Ocean Springs, MS 39566-1073
Phone (228) 875-6113

Other practice location 1

509 Jackson Ave
Ocean Springs, MS 39564-4619
Phone (228) 875-6113

Other practice location 2

302 S Spring St
Tupelo, MS 38804-4853
Phone (662) 205-0098

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20241010000558 MS Practitioner - Mental Health Counselor 8820520240 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gulf Coast Family Counseling AgencyGroup PAC ID 9537239389, 5 clinicians

Practice addresses (Care Compare)

509 Jackson Ave
Ocean Springs, MS 39564-4619
Phone (228) 875-6113

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1695MSMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Heale Counseling, LLC Mental Health CurrentSince Sep 1, 2024 Accepting new patients
Gulf Coast Family Counseling Agency CurrentSince Oct 10, 2024 Accepting new patients

Locations

509 Jackson Ave
Ocean Springs, MS 39564
Phone (228) 875-6113

5009 Telephone Rd
Pascagoula, MS 39567
Phone (228) 762-7422

302 S Spring St
Tupelo, MS 38804
Phone (662) 841-8020

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1346544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1063761328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1073",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395661073",
            "telephone_number": "228-875-6113",
            "fax_number": "228-875-9065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5009 TELEPHONE RD",
            "city": "PASCAGOULA",
            "state": "MS",
            "postal_code": "395671832",
            "telephone_number": "228-875-6113",
            "fax_number": "228-875-9065"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "509 Jackson Ave",
            "address_purpose": "LOCATION",
            "city": "Ocean Springs",
            "state": "MS",
            "postal_code": "395644619",
            "country_code": "US",
            "telephone_number": "228-875-6113",
            "fax_number": "228-875-9065",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "302 S Spring St",
            "address_purpose": "LOCATION",
            "city": "Tupelo",
            "state": "MS",
            "postal_code": "388044853",
            "country_code": "US",
            "telephone_number": "662-205-0098",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REEVES",
        "first_name": "HOLLY",
        "middle_name": "ANNE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-02",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MS",
            "license": "1695",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": "1695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pascagoula, MS

Sources for this page

Verify at the official NPI Registry.