Active NPI
Stacie Ausbon Holmes, M.A., LPC, NCC
- Professional Counselor
- Addis, LA
National Provider Identifier
1124776323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 9035
- Practice address
- 6711 Tanglewood Dr
Addis, LA 70710-4009 - Phone
- (225) 573-5098
- NPI assigned
- Mar 16, 2022
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 9035 | LA | Primary |
Addresses
Primary practice location
6711 Tanglewood Dr
Addis, LA 70710-4009
Mailing address
6711 Tanglewood Dr
Addis, LA 70710-4009
Phone (225) 573-5098
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9035 | LA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741046400000",
"number": "1124776323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6711 TANGLEWOOD DR",
"city": "ADDIS",
"state": "LA",
"postal_code": "707104009",
"telephone_number": "225-573-5098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6711 TANGLEWOOD DR",
"city": "ADDIS",
"state": "LA",
"postal_code": "707104009",
"telephone_number": "225-573-5098"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLMES",
"first_name": "STACIE",
"middle_name": "AUSBON",
"credential": "M.A., LPC, NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-03-16",
"last_updated": "2025-03-04",
"certification_date": "2025-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "LA",
"license": "9035",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Addis, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.