Kenika Holloway

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

2031 Gees Mill Rd NE Ste 102
Conyers, GA 30013-1328

Phone

(833) 299-4846

Fax

(833) 299-4846

NPI assigned

Dec 1, 2006

Last updated

Jul 3, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Activating Wellness Within, LLC

  • Adult Mental Health Clinic/Center
  • Decatur, GA
  • NPI 1568959591
  NPD Authorized official

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688342400000",
    "number": "1316015969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2031 GEES MILL RD NE STE 102",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300131328",
            "telephone_number": "833-299-4846",
            "fax_number": "833-299-4846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2031 GEES MILL RD NE STE 102",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300131328",
            "telephone_number": "833-299-4846",
            "fax_number": "833-299-4846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLOWAY",
        "first_name": "KENIKA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joyelle Hines, LPC
• Maxine S Hodges
• Geraldo Enrique Holguin Terrero, MD
• Holistic Counseling and Wellness Center LLC
• Holistic Health Management, LLC (Multi-Care Holistic Health Center)
• Kenyata B Holton, DPT
• Brenda Kay Holzer, CFM
• Daniel T. Holzer, CP, LP
• Home Guard Private Home Care LLC (My Home Guard Care LLC)
• Home of the Heroes

• Counselor in Conyers, GA
• Providers in Conyers, GA by specialty
• Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2023; 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.