Individual provider Active NPI

Janice A Holemon, LMFT

  • Marriage & Family Therapist
  • Franklin, VA
National Provider Identifier
1073093316
Registry record updated Jul 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
0717001502 Issued in VA
Practice address
808 Gardner St
Franklin, VA 23851-1831
Phone
(757) 577-2100
Fax
(757) 304-9423
NPI assigned
Aug 16, 2018
Last updated
Jul 3, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 0717001502 VA Primary

Addresses

Primary practice location

808 Gardner St
Franklin, VA 23851-1831

Mailing address

808 Gardner St
Franklin, VA 23851-1831
Phone (757) 577-2100

Other practice location 1

105 W 1st Ave
Franklin, VA 23851-1701
Phone (757) 516-7886

Other identifiers 1

IdentifierTypeStateIssuer
601309828MedicaidVA

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Emotions in Motion LLC PastSince Sep 9, 2017 Accepting new patients
Persevering Families & Counseling, LLC Marriage & Family Therapist PastSince Aug 16, 2018 Accepting new patients

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": "1534377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562112000000",
    "number": "1073093316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 GARDNER ST",
            "city": "FRANKLIN",
            "state": "VA",
            "postal_code": "238511831",
            "telephone_number": "757-577-2100",
            "fax_number": "757-304-9423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 GARDNER ST",
            "city": "FRANKLIN",
            "state": "VA",
            "postal_code": "238511831",
            "telephone_number": "757-577-2100",
            "fax_number": "757-304-9423"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 W 1st Ave",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "VA",
            "postal_code": "238511701",
            "country_code": "US",
            "telephone_number": "757-516-7886",
            "fax_number": "757-517-2240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLEMON",
        "first_name": "JANICE",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-16",
        "last_updated": "2019-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "VA",
            "license": "0717001502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "601309828",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2019; 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.