Individual provider Active NPI

Jamice Amanda Holley, LGPC

  • Counselor
  • Crofton, MD
National Provider Identifier
1306470141
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LC13761 Issued in MD
Practice address
1612 Professional Blvd Ste a
Crofton, MD 21114-2049
Phone
(301) 875-5429
NPI assigned
Mar 2, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LC13761 MD
Professional Counselor 101YP2500X LC13761 MD
Counselor 101Y00000X LC13761 MD Primary

Addresses

Primary practice location

1612 Professional Blvd Ste a
Crofton, MD 21114-2049

Mailing address

7606 Elmcrest Rd
Hanover, MD 21076-1873
Phone (240) 599-6255

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20240909004715 MD Practitioner - Mental Health Counselor 3779023403 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7606 Elmcrest Rd
Hanover, MD 21076-1873
Phone (240) 599-6255

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Art of Becoming, LLC CurrentSince Aug 19, 2024 Accepting new patients

Locations

1612 Professional Blvd
Ste A
Crofton, MD 21114
Phone (443) 203-8508

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": "1583107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782259200000",
    "number": "1306470141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7606 ELMCREST RD",
            "city": "HANOVER",
            "state": "MD",
            "postal_code": "210761873",
            "telephone_number": "240-599-6255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1612 PROFESSIONAL BLVD STE A",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211142049",
            "telephone_number": "301-875-5429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLEY",
        "first_name": "JAMICE",
        "middle_name": "AMANDA",
        "name_prefix": "Mrs.",
        "credential": "LGPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-02",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC13761",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC13761",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MD",
            "license": "LC13761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crofton, MD

Sources for this page

Verify at the official NPI Registry.