Individual provider Active NPI

Shacora Renee Holt, LPC

  • Professional Counselor
  • Houston, TX
National Provider Identifier
1386264273
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC012217 Issued in PA
Practice address
3050 Post Oak Blvd Ste 510
Houston, TX 77056-6512
Phone
(717) 599-2817
NPI assigned
Apr 20, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

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 PC012217 PA Primary

Addresses

Primary practice location

3050 Post Oak Blvd Ste 510
Houston, TX 77056-6512

Mailing address

3050 Post Oak Blvd Ste 510
Houston, TX 77056-6512
Phone (717) 599-2817

Other names 1

  • Mrs. Shacora Renee Hayes Other name

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

State licenses

LicenseStateTypeSpecialty
PC012217PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sacred Hearts Counseling Services Current Accepting new patients
Sacred Hearts Counseling Services, LLC Professional CurrentSince Apr 1, 2020 Accepting new patients

Locations

18 Campus Blvd
Newtown Square, PA 19073
Phone (267) 270-0527

3050 Post Oak Blvd
Ste 510
Houston, TX 77056
Phone (832) 482-9603

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1587340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1386264273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 POST OAK BLVD STE 510",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770566512",
            "telephone_number": "717-599-2817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 POST OAK BLVD STE 510",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770566512",
            "telephone_number": "717-599-2817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLT",
        "first_name": "SHACORA",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-20",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC012217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHACORA",
            "last_name": "HAYES",
            "middle_name": "RENEE",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; 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.