Individual provider Active NPI

Dawn Jeneane Holmes, MA

  • Rehabilitation Counselor
  • Tulsa, OK
National Provider Identifier
1245575257
Registry record updated Dec 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation CounselorTaxonomy code 225C00000X
License
BHRS CERTIFIED Issued in OK
Practice address
2448 E 81St St
Suite 5125
Tulsa, OK 74137-4250
Phone
(918) 729-7006
Fax
(800) 260-7966
NPI assigned
Dec 2, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Counselor 225C00000X BHRS CERTIFIED OK Primary

Addresses

Primary practice location

2448 E 81St St
Suite 5125
Tulsa, OK 74137-4250

Mailing address

1358 E 58TH St
Tulsa, OK 74105-8501
Phone (254) 275-8210

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

LicenseStateTypeSpecialty
BHRS CERTIFIEDOKMDRehabilitation Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Abundant Grace Counseling Services, LLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1354406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354492800000",
    "number": "1245575257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1358 E 58TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741058501",
            "telephone_number": "254-275-8210",
            "fax_number": "800-260-7966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2448 E 81ST ST",
            "address_2": "SUITE 5125",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741374250",
            "telephone_number": "918-729-7006",
            "fax_number": "800-260-7966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "DAWN",
        "middle_name": "JENEANE",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-02",
        "last_updated": "2012-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225C00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor",
            "state": "OK",
            "license": "BHRS CERTIFIED",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2012; 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.