Individual provider Active NPI

Katie Holman, MS, LPC

  • Professional Counselor
  • Kirkwood, MO
National Provider Identifier
1093152332
Registry record updated Mar 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2013004022 Issued in MO
Practice address
108 N Clay Ave Ste 200
Kirkwood, MO 63122-4265
Phone
(314) 422-7847
NPI assigned
May 28, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2013004022
Professional Counselor 101YP2500X 2013004022 MO Primary

Addresses

Primary practice location

108 N Clay Ave Ste 200
Kirkwood, MO 63122-4265

Mailing address

805 Castle Ridge CT
Ballwin, MO 63021-4465
Phone (314) 852-9319

Other practice location 1

485 Castle Ridge Ct
Ballwin, MO 63021
Phone (314) 852-9319

Other practice location 2

805 Castle Ridge Ct
Ballwin, MO 63021-4465
Phone (314) 852-9319

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2013004022MOMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1369699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678060800000",
    "number": "1093152332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 CASTLE RIDGE CT",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630214465",
            "telephone_number": "314-852-9319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 N CLAY AVE STE 200",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631224265",
            "telephone_number": "314-422-7847"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "485 Castle Ridge Ct",
            "address_purpose": "LOCATION",
            "city": "Ballwin",
            "state": "MO",
            "postal_code": "63021",
            "country_code": "US",
            "telephone_number": "314-852-9319",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "805 Castle Ridge Ct",
            "address_purpose": "LOCATION",
            "city": "Ballwin",
            "state": "MO",
            "postal_code": "630214465",
            "country_code": "US",
            "telephone_number": "314-852-9319",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLMAN",
        "first_name": "KATIE",
        "credential": "MS, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-28",
        "last_updated": "2023-03-06",
        "certification_date": "2022-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": "2013004022",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2013004022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkwood, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; 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.