Individual provider Active NPI

Holly Whelchel Alford, LAMFT

  • Marriage & Family Therapist
  • Flower Mound, TX
National Provider Identifier
1336284033
Registry record updated Dec 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
201950 Issued in TX
Practice address
3370 Long Praire Road
Suite 550
Flower Mound, TX 75022
Phone
(469) 557-2997
NPI assigned
Feb 20, 2007
Last updated
Dec 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X AMFT000098 GA
Marriage & Family Therapist 106H00000X 201950 TX Primary

Addresses

Primary practice location

3370 Long Praire Road
Suite 550
Flower Mound, TX 75022

Mailing address

1700 Verbena LN
Lantana, TX 76226-7506
Phone (706) 614-0652

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20250121003533 TX Practitioner - Marriage and Family Therapist 8426587494 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Charlie Blue Therapy LLCGroup PAC ID 4385082965, 3 clinicians

Practice addresses (Care Compare)

3370 Long Prairie Rd
Suite 650
Flower Mound, TX 75022-3000
Phone (469) 557-2997

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AMFT000098GAMDMarriage & Family Therapist
201950TXMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Charlie Blue Therapy LLC Marriage & Family Therapist CurrentSince Dec 23, 2024 Accepting new patients
GRN Community Service Board Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734912000000",
    "number": "1336284033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 VERBENA LN",
            "city": "LANTANA",
            "state": "TX",
            "postal_code": "762267506",
            "telephone_number": "706-614-0652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3370 LONG PRAIRE ROAD",
            "address_2": "SUITE 550",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "75022",
            "telephone_number": "469-557-2997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALFORD",
        "first_name": "HOLLY",
        "middle_name": "WHELCHEL",
        "name_prefix": "Mrs.",
        "credential": "LAMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "AMFT000098",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "201950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flower Mound, TX

Sources for this page

Verify at the official NPI Registry.