Individual provider Active NPI

Kara Holden

  • Clinical Psychologist
  • Butner, NC
National Provider Identifier
1285196980
Registry record updated Apr 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
4421 Issued in NC
Practice address
Old NC Hwy 75
Butner, NC 27509
Phone
(919) 575-4541
NPI assigned
Apr 2, 2019
Last updated
Apr 2, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 4421 NC Primary

Addresses

Primary practice location

Old NC Hwy 75
Butner, NC 27509

Mailing address

11805 Canemount St
Raleigh, NC 27614-8384

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20190812002621 NC Practitioner - Clinical Psychologist 6204163348 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Step Up Care of North Carolina PCGroup PAC ID 4486036878, 19 clinicians

Practice addresses (Care Compare)

3250 Homestead Club Dr
Winston Salem, NC 27103-6787
Phone (718) 506-1115

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4421NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Total Life Inc. Single Specialty CurrentSince Feb 6, 2024 Accepting new patients
Wakemed Specialists Group LLC CurrentSince Apr 1, 2022 Accepting new patients
Monarch CurrentSince Oct 1, 2023 Accepting new patients
Wakemed Specialists Group, LLC CurrentSince Apr 1, 2022 Accepting new patients
Wakemed Clinical CurrentSince Aug 24, 2019 Accepting new patients
Wakemed Specialists Group, LLC Single Specialty Current Accepting new patients
Golden Grace Psychology, PLLC Single Specialty Current Accepting new patients
Wakemed CurrentSince Aug 24, 2019 Accepting new patients
University of North Carolina at Chapel Hill Clinical CurrentSince Jul 2, 2019 Accepting new patients
Monarch Single Specialty Current Accepting new patients
Step Up Care of North Carolina PC Clinical CurrentSince Feb 19, 2024 Accepting new patients
Monarch CurrentSince Oct 1, 2023 Accepting new patients

Locations

110 Front St
Ste 300
Jupiter, FL 33477
Phone (205) 246-5690

350 Pee Dee Ave
Ste 101
Albemarle, NC 28001
Phone (704) 986-1522

1900 Kildaire Farm Rd
Cary, NC 27518
Phone (919) 350-2300

101 Manning Dr
Chapel Hill, NC 27514
Phone (984) 974-1485

5960 Fairview Rd
Ste 400
Charlotte, NC 28210
Phone (980) 224-3640

820 Grimes Blvd
Lexington, NC 27292
Phone (336) 224-6071

3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000

319 Chapanoke Rd
Ste 120
Raleigh, NC 27603
Phone (919) 322-5911

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

Organizations & group practices 12

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": "1554163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554163200000",
    "number": "1285196980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11805 CANEMOUNT ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276148384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "OLD NC HWY 75",
            "city": "BUTNER",
            "state": "NC",
            "postal_code": "27509",
            "telephone_number": "919-575-4541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLDEN",
        "first_name": "KARA",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-02",
        "last_updated": "2019-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "4421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Butner, NC

Sources for this page

Verify at the official NPI Registry.