Evelyn Amelia Greene-Holmes, MA, LPC, CJC, LCADC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

37LC00081800 Issued in NJ

Practice address

20 Joanne Dr
Sicklerville, NJ 08081-4934

Phone

(856) 282-6636

Fax

(856) 545-7962

NPI assigned

Jan 3, 2007

Sex

Female

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

Enrolled in NJ

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

Specialty

Mental Health Counselor

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Thrive Counseling LLCGroup PAC ID 0749458420, 1,187 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Thrive Counseling LLC

  • Mental Health Counselor
  • Lynchburg, VA
  • NPI 1215181300

  Mental Health, NJ

  Medicare reassignment Care Compare group NPD
• Lifebulb LLC

  • Mental Health Counselor
  • Toms River, NJ
  • NPI 1699491464

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1306903976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 JOANNE DR",
            "city": "SICKLERVILLE",
            "state": "NJ",
            "postal_code": "080814934",
            "telephone_number": "856-282-6636",
            "fax_number": "856-545-7962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 JOANNE DR",
            "city": "SICKLERVILLE",
            "state": "NJ",
            "postal_code": "080814934",
            "telephone_number": "856-282-6636",
            "fax_number": "856-545-7962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENE-HOLMES",
        "first_name": "EVELYN",
        "middle_name": "AMELIA",
        "name_prefix": "Mrs.",
        "credential": "MA, LPC, CJC, LCADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37LC00081800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Michael Grant, DPM
• Karen Elizabeth Gray Pinkham, MA BCBA LBA LBS
• Great in Home Care Dba. Home Helpers
• Rebekah J Green
• Tanika Green
• Daija Grier, LMFT
• Jessica T Grimes, M.S.
• Chinnise Kyerstein Gross
• Guiding Hands Community Living
• Krishna Gupta, PHARM.D.

• All providers in Sicklerville, NJ
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.