Individual provider Active NPI

Tammy Helen Holcomb, LPCS

  • Mental Health Counselor
  • Roswell, GA
National Provider Identifier
1124269956
Registry record updated Nov 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
002216 Issued in GA
Practice address
115 Vickery St
Roswell, GA 30075-4980
Phone
(770) 714-8672
Fax
(770) 594-7316
NPI assigned
Mar 6, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2019

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 S10785 NC
Mental Health Counselor 101YM0800X 002216 GA Primary

Addresses

Primary practice location

115 Vickery St
Roswell, GA 30075-4980

Mailing address

5001 S Miami Blvd Ste 325
Durham, NC 27703-8526
Phone (919) 909-7959

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

State licenses

LicenseStateTypeSpecialty
002216GAMDMental Health Counselor
S10785NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Tammy Holcomb, PLLC Mental Health CurrentSince Sep 13, 2020 Accepting new patients
Katy Sampson, PH.D., PLLC PastSince Nov 24, 2019 Accepting new patients

Locations

315 S Salem St
Ste 222
Apex, NC 27502
Phone (919) 780-1876

5001 S Miami Blvd
Ste 325
Durham, NC 27703
Phone (919) 472-0637

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1236297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574208000000",
    "number": "1124269956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5001 S MIAMI BLVD STE 325",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277038526",
            "telephone_number": "919-909-7959",
            "fax_number": "919-246-9390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 VICKERY ST",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300754980",
            "telephone_number": "770-714-8672",
            "fax_number": "770-594-7316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLCOMB",
        "first_name": "TAMMY",
        "middle_name": "HELEN",
        "name_prefix": "Mrs.",
        "credential": "LPCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-06",
        "last_updated": "2019-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "S10785",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "002216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.