Individual provider Active NPI

Deborah Lee Holladay, MS ED

  • Counselor
  • Louisville, KY
National Provider Identifier
1346333911
Registry record updated May 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
KY-1066 Issued in KY
Practice address
130 Evergreen Rd
Suite 202
Louisville, KY 40243-1489
Phone
(502) 599-3593
Fax
(502) 565-1887
NPI assigned
Oct 2, 2006
Last updated
May 19, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X KY-1066 KY Primary

Addresses

Primary practice location

130 Evergreen Rd
Suite 202
Louisville, KY 40243-1489

Mailing address

130 Evergreen Rd
Suite 202
Louisville, KY 40243-1489
Phone (502) 599-3593

Other identifiers 1

IdentifierTypeStateIssuer
KY-1066OtherKYKENTUCKY LICENSE LICENSED PROFESSIONAL CLINICAL COUNSELOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
KY-1066KYMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Deborah Holladay Counseling, M.S., LPCC PSC Past 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, 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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400457600000",
    "number": "1346333911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 EVERGREEN RD",
            "address_2": "SUITE 202",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402431489",
            "telephone_number": "502-599-3593",
            "fax_number": "502-565-1887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 EVERGREEN RD",
            "address_2": "SUITE 202",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402431489",
            "telephone_number": "502-599-3593",
            "fax_number": "502-565-1887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLADAY",
        "first_name": "DEBORAH",
        "middle_name": "LEE",
        "credential": "MS ED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2014-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "KY",
            "license": "KY-1066",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KENTUCKY LICENSE     LICENSED PROFESSIONAL CLINICAL COUNSELOR",
            "identifier": "KY-1066",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2014; 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.