Individual provider Active NPI

Sarah Holliday, LPC

  • Professional Counselor
  • Kingwood, TX
National Provider Identifier
1336732759
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
89288 Issued in TX
Practice address
1801 Kingwood Dr Ste 240
Kingwood, TX 77339-3058
Phone
(832) 233-3086
NPI assigned
Feb 17, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 89288 TX Primary

Addresses

Primary practice location

1801 Kingwood Dr Ste 240
Kingwood, TX 77339-3058

Mailing address

1151 Glenda St
Pearland, TX 77581-2301
Phone (832) 370-9117

Other practice location 1

1111 North Loop W Ste 935
Houston, TX 77008-4716
Phone (832) 233-3086

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: No
  • 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
I20241031003484 TX Practitioner - Mental Health Counselor 7214460096

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
89288TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kbccms, LLC Professional PastSince Oct 25, 2020 Accepting new patients

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": "1613520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1336732759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1151 GLENDA ST",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775812301",
            "telephone_number": "832-370-9117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 KINGWOOD DR STE 240",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773393058",
            "telephone_number": "832-233-3086"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 North Loop W Ste 935",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770084716",
            "country_code": "US",
            "telephone_number": "832-233-3086",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLLIDAY",
        "first_name": "SARAH",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-17",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "89288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

Verify at the official NPI Registry.