Individual provider Active NPI

Teresa Adams Holmes, M.S. ALC

  • Professional Counselor
  • Slocomb, AL
National Provider Identifier
1124339908
Registry record updated Jun 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
C1635A Issued in AL
Practice address
6276 S State Highway 103
Slocomb, AL 36375-5792
Phone
(334) 798-5015
Fax
(334) 886-3932
NPI assigned
Jun 28, 2010
Last updated
Jun 28, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X C1635A AL Primary

Addresses

Primary practice location

6276 S State Highway 103
Slocomb, AL 36375-5792

Mailing address

6276 S State Highway 103
Slocomb, AL 36375-5792
Phone (334) 798-5015

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
C1635AALMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1277683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277683200000",
    "number": "1124339908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6276 S STATE HIGHWAY 103",
            "city": "SLOCOMB",
            "state": "AL",
            "postal_code": "363755792",
            "telephone_number": "334-798-5015",
            "fax_number": "334-886-3932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6276 S STATE HIGHWAY 103",
            "city": "SLOCOMB",
            "state": "AL",
            "postal_code": "363755792",
            "telephone_number": "334-798-5015",
            "fax_number": "334-886-3932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "TERESA",
        "middle_name": "ADAMS",
        "name_prefix": "Mrs.",
        "credential": "M.S. ALC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-28",
        "last_updated": "2010-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "C1635A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Slocomb, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2010; 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.