Individual provider Active NPI

Michelle Rena Holston

  • Mental Health Counselor
  • Lafayette, LA
National Provider Identifier
1235983628
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
8305 Issued in LA
Practice address
302 Dulles Dr
Lafayette, LA 70506-3008
Phone
(337) 262-4190
NPI assigned
Apr 12, 2024
Last updated
Apr 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 8305 LA Primary

Addresses

Primary practice location

302 Dulles Dr
Lafayette, LA 70506-3008

Mailing address

302 Dulles Dr
Lafayette, LA 70506-3008
Phone (337) 262-4100

Other practice location 1

4023 Ambassador Caffery Pkwy Ste 507
Lafayette, LA 70503-5268
Phone (337) 284-0820

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260514001787 LA Practitioner - Mental Health Counselor 5991274441 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

302 Dulles Dr
Lafayette, LA 70506-3008
Phone (337) 262-4109

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8305LAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness Center of Acadiana, LLC CurrentSince May 1, 2025 Accepting new patients

Locations

4023 Ambassador Caffery Pkwy
Ste 507
Lafayette, LA 70503
Phone (337) 284-0820

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1712880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776038400000",
    "number": "1235983628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 DULLES DR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705063008",
            "telephone_number": "337-262-4100",
            "fax_number": "337-262-1146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 DULLES DR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705063008",
            "telephone_number": "337-262-4190"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4023 Ambassador Caffery Pkwy Ste 507",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "LA",
            "postal_code": "705035268",
            "country_code": "US",
            "telephone_number": "337-284-0820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLSTON",
        "first_name": "MICHELLE",
        "middle_name": "RENA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-12",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "8305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.