Active NPI
Amy Holmes, LPC
- Professional Counselor
- Smyrna, GA
National Provider Identifier
1306300835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- APC005648
- Practice address
- 3830 S Cobb Dr SE
Smyrna, GA 30080-5532 - Phone
- (678) 650-0112
- NPI assigned
- Jan 29, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | APC005648 | GA | Primary |
Addresses
Primary practice location
3830 S Cobb Dr SE
Smyrna, GA 30080-5532
Mailing address
3830 S Cobb Dr SE
Smyrna, GA 30080-5532
Phone (678) 650-0112
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APC005648 | GA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Highland Rivers Community Service Board | Current | Accepting new patients | |
| Highland Rivers CSB | Current | Accepting new patients | |
| Counseling Innovations, LLC | Professional | Past | Accepting new patients |
Locations
191 Lamar Haley Pkwy
Canton, GA 30114
Phone (770) 704-1600
1503 N Tibbs Rd
Dalton, GA 30720
Phone (706) 229-4507
1650 County Services Pkwy SW
Marietta, GA 30008
Phone (770) 514-2300
Organizations & group practices 3
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.
-
- Community/Behavioral Health Agency
- Dalton, GA
- NPI 1447256243
-
- Community/Behavioral Health Agency
- Dalton, GA
- NPI 1164585543
-
- Professional Counselor
- Marietta, GA
- NPI 1922238807
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687910400000",
"number": "1306300835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3830 S COBB DR SE",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300805532",
"telephone_number": "678-650-0112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3830 S COBB DR SE",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300805532",
"telephone_number": "678-650-0112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLMES",
"first_name": "AMY",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-29",
"last_updated": "2023-06-28",
"certification_date": "2023-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "APC005648",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Smyrna, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.