Mitchell Charles Holloman, QMHP, MPA, PHD

Primary specialty

Prevention ProfessionalTaxonomy code 405300000X

License

$$$$$$$$$ Issued in VA

Practice address

734 Middle Ground Blvd Ste C
Newport News, VA 23606-4539

Phone

(757) 876-4450

NPI assigned

Jan 10, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

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.

• Gifted Ambition Health LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Newport News, VA
  • NPI 1366315244
  NPD Authorized official
• Trail of the Gifted Inc.

  • Community/Behavioral Health Agency
  • Newport News, VA
  • NPI 1689561193
  NPD Authorized official

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

{
    "created_epoch": "1736467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769817600000",
    "number": "1225848401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "734 MIDDLE GROUND BLVD STE C",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064539",
            "telephone_number": "757-876-4450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "734 MIDDLE GROUND BLVD STE C",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064539",
            "telephone_number": "757-876-4450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLOMAN",
        "first_name": "MITCHELL",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "QMHP, MPA, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-01-10",
        "last_updated": "2026-01-31",
        "certification_date": "2026-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "405300000X",
            "taxonomy_group": "",
            "desc": "Prevention Professional",
            "state": "VA",
            "license": "$$$$$$$$$",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelley Austin Hofmeyer
• Lea Holbrook
• Kathy Leslyn Holcombe, CRNA
• Holdon, Inc. Dba Home Instead
• Monique Hollis
• Brian Andrew Holloway, M.D.
• Jessica K Hollowell, PT, DPT, ATC
• Janemarie Hollywood, LCSW
• Woodrow C. L. Holmes, D.C.
• Ryan P Holste, M.D.

• Prevention Professional in Newport News, VA
• Providers in Newport News, VA by specialty
• Prevention Professional in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2026; 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.