Individual provider Active NPI

Elizabeth Holman

  • Mental Health Counselor
  • Brentwood, TN
National Provider Identifier
1114613874
Registry record updated Apr 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6130 Issued in TN
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

Updated by the provider on Apr 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20250619001917 VA Practitioner - Mental Health Counselor 4082125653 Reassigns benefits to 1 organization
I20250620001851 TN Practitioner - Mental Health Counselor 4082125653 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6130TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
National Addiction Specialists LLC CurrentSince Apr 5, 2025 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.

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

Verify at the official NPI Registry.