Active NPI
Lee Holley, PRSS
- Addiction (Substance Use Disorder) Counselor
- Houston, TX
National Provider Identifier
1255992384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 1616-0617
- Practice address
- 6912 Stella Link Rd
Houston, TX 77025-1171 - Phone
- (512) 938-2472
- NPI assigned
- Jun 28, 2019
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1616-0617 | TX | Primary |
Addresses
Primary practice location
6912 Stella Link Rd
Houston, TX 77025-1171
Mailing address
4807 Pin Oak Park Apt 4102
Houston, TX 77081-2299
Phone (512) 938-2472
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | linkedin.com/in/leeaholley | ||
| Other URL | linkedin.com/in/leeaholley |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 3, 2024 through Jan 3, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1616-0617 | TX | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561680000000",
"number": "1255992384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4807 PIN OAK PARK APT 4102",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770812299",
"telephone_number": "512-938-2472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6912 STELLA LINK RD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770251171",
"telephone_number": "512-938-2472"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLEY",
"first_name": "LEE",
"credential": "PRSS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-06-28",
"last_updated": "2019-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TX",
"license": "1616-0617",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "linkedin.com/in/leeaholley",
"affiliation": "N",
"address_1": "4807 Pin Oak Park Apt 4102",
"city": "Houston",
"state": "TX",
"country_code": "US",
"postal_code": "770812299",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "linkedin.com/in/leeaholley",
"affiliation": "N",
"address_1": "6912 Stella Link Rd",
"city": "Houston",
"state": "TX",
"country_code": "US",
"postal_code": "770251171",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.