Active NPI
Elizabeth Holman
- Mental Health Counselor
- Brentwood, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 6130
- Practice address
- 641 Old Hickory Blvd Unit 208
Brentwood, TN 37027-3946 - Phone
- (615) 540-4402
- NPI assigned
- Apr 14, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 6130 | TN | Primary |
Addresses
Primary practice location
641 Old Hickory Blvd Unit 208
Brentwood, TN 37027-3946
Mailing address
641 Old Hickory Blvd Unit 208
Brentwood, TN 37027-3946
Phone (615) 540-4402
Other practice location 1
1604 Westgate Cir Ste 240
Brentwood, TN 37027-8578
Phone (615) 857-4879
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6130 | TN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| National Addiction Specialists LLC | Current | Accepting new patients |
Locations
5511 Virginia Way
Ste 300
Brentwood, TN 37027
Phone (615) 692-1560
3101 Lee Hwy
Bristol, VA 24202
Phone (276) 967-6000
3046 Carlbrook Rd
South Boston, VA 24592
Phone (434) 476-1427
249 Central Park Ave
Ste 300161
Virginia Beach, VA 23462
Phone (615) 994-1000
Organizations & group practices 1
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.
-
- Addiction Medicine (Internal Medicine) Physician
- Brentwood, TN
- NPI 1477186336
VA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681430400000",
"number": "1114613874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "641 OLD HICKORY BLVD UNIT 208",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370273946",
"telephone_number": "615-540-4402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "641 OLD HICKORY BLVD UNIT 208",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370273946",
"telephone_number": "615-540-4402"
}
],
"practiceLocations": [
{
"address_1": "1604 Westgate Cir Ste 240",
"address_purpose": "LOCATION",
"city": "Brentwood",
"state": "TN",
"postal_code": "370278578",
"country_code": "US",
"telephone_number": "615-857-4879",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOLMAN",
"first_name": "ELIZABETH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-04-14",
"last_updated": "2023-04-14",
"certification_date": "2023-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TN",
"license": "6130",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brentwood, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.