Individual provider Active NPI

Carolynn Holmes Search, MS, MDIV, LPC

  • Mental Health Counselor
  • Bethlehem, PA
National Provider Identifier
1346775772
Registry record updated Apr 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PC005226 Issued in PA
Practice address
53 W Church St
#21
Bethlehem, PA 18018-5823
Phone
(267) 974-5081
NPI assigned
Apr 24, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X PC005226 PA Primary
Pastoral Counselor 101YP1600X PC005226 PA
Professional Counselor 101YP2500X PC005226 PA

Addresses

Primary practice location

53 W Church St
#21
Bethlehem, PA 18018-5823

Mailing address

53 W Church St
#21
Bethlehem, PA 18018-5823
Phone (267) 974-5081

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20260529001707 PA Practitioner - Mental Health Counselor 1355811423 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Intentional Counseling and Wellness, LLCGroup PAC ID 1759811920, 8 clinicians

Practice addresses (Care Compare)

95 Highland Ave
Suite 301
Bethlehem, PA 18017-9435
Phone (610) 849-0413

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
PC005226PAMDMental Health Counselor

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": "1492992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492992000000",
    "number": "1346775772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 W CHURCH ST",
            "address_2": "#21",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180185823",
            "telephone_number": "267-974-5081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 W CHURCH ST",
            "address_2": "#21",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180185823",
            "telephone_number": "267-974-5081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMES SEARCH",
        "first_name": "CAROLYNN",
        "credential": "MS, MDIV, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-24",
        "last_updated": "2017-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC005226",
            "primary": true
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "PA",
            "license": "PC005226",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC005226",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethlehem, PA

Sources for this page

Verify at the official NPI Registry.