Active NPI
Teri Holamon, L.P.C., R.P.T.
- Professional Counselor
- Garland, TX
National Provider Identifier
1235455692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 63767
- Practice address
- 707 W Avenue D
Garland, TX 75040-7001 - Phone
- (214) 315-9670
- NPI assigned
- Apr 9, 2010
- 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 | 63767 | TX | Primary |
Addresses
Primary practice location
707 W Avenue D
Garland, TX 75040-7001
Mailing address
4914 Berkeley CT
Garland, TX 75043-7542
Phone (214) 315-9670
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
| License | State | Type | Specialty |
|---|---|---|---|
| 63767 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1270771200000",
"number": "1235455692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4914 BERKELEY CT",
"city": "GARLAND",
"state": "TX",
"postal_code": "750437542",
"telephone_number": "214-315-9670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707 W AVENUE D",
"city": "GARLAND",
"state": "TX",
"postal_code": "750407001",
"telephone_number": "214-315-9670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLAMON",
"first_name": "TERI",
"credential": "L.P.C., R.P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-04-09",
"last_updated": "2010-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "63767",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.