Bruce Bennett Holmes, MA, LSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

S 0800638 Issued in OH

Practice address

24100 Chagrin Blvd Ste 330
Beachwood, OH 44122-5552

Phone

(800) 642-4560

NPI assigned

Apr 5, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Hope Behavioral Health LLC

  • Clinical Social Worker
  • Beachwood, OH
  • NPI 1821432758
  NPD (past)

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

{
    "created_epoch": "1491350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491350400000",
    "number": "1295268456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21315 FAIRMOUNT BLVD",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441184805",
            "telephone_number": "216-618-5029",
            "fax_number": "216-371-0480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24100 CHAGRIN BLVD STE 330",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225552",
            "telephone_number": "800-642-4560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "BRUCE",
        "middle_name": "BENNETT",
        "name_prefix": "Mr.",
        "credential": "MA, LSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-05",
        "last_updated": "2017-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "S 0800638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Hohman
• Nathan C Holbrook, PT
• De'Aundra Holifield
• Holly Holladay I, OT
• Jean Nicole Holman, LPCC
• Ethan Holmes
• Nicole Holmes, LISW-S
• Samantha Holmes
• Samantha Holmes, LPCC,LCDCIII
• Angela Marie Holpuch, PT

• Mental Health Counselor in Beachwood, OH
• Providers in Beachwood, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2017; 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.