Individual provider Active NPI

Patricia Elaine Holabeck, MA, LPCC

  • Mental Health Counselor
  • Castle Rock, CO
National Provider Identifier
1356728729
Registry record updated May 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
112100371 Issued in CO
Practice address
333 Perry St Ste 206E
Castle Rock, CO 80104-2434
Phone
(719) 428-9284
NPI assigned
May 5, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 112100371 CO Primary

Addresses

Primary practice location

333 Perry St Ste 206E
Castle Rock, CO 80104-2434

Mailing address

6047 Whetstone Dr
Colorado Springs, CO 80923-7549
Phone (719) 428-9284

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 Arts

State licenses

LicenseStateTypeSpecialty
112100371COMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1430784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430784000000",
    "number": "1356728729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6047 WHETSTONE DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809237549",
            "telephone_number": "719-428-9284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 PERRY ST STE 206E",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801042434",
            "telephone_number": "719-428-9284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLABECK",
        "first_name": "PATRICIA",
        "middle_name": "ELAINE",
        "credential": "MA, LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-05",
        "last_updated": "2015-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "112100371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castle Rock, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2015; 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.