Active NPI
Holly Herrera Humphrey
- Professional Counselor
- Corpus Christi, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 91561
- Practice address
- 11269 Leopard St
Corpus Christi, TX 78410-2615 - Phone
- (361) 693-5777
- NPI assigned
- May 8, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 91561 | TX | Primary |
Addresses
Primary practice location
11269 Leopard St
Corpus Christi, TX 78410-2615
Mailing address
831 E Congressman Solomon P Ortiz Blvd
Robstown, TX 78380-6139
Phone (361) 815-3686
Other practice location 1
4646 Corona Dr Ste 216
Corpus Christi, TX 78411-4386
Phone (361) 547-5541 ext. 2
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250626000062 | TX | Practitioner - Mental Health Counselor | 5597277335 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Distinctive Counseling and Consulting PLLC | Current | Accepting new patients |
Locations
11269 Leopard St
Corpus Christi, TX 78410
Phone (361) 547-5541
4646 Corona Dr
Ste 216
Corpus Christi, TX 78411
Phone (361) 547-5541
422 E Avenue B
Robstown, TX 78380
Phone (361) 547-5541
422 E Avenue B
#205
Robstown, TX 78380
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": "1746662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749686400000",
"number": "1386434769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "831 E CONGRESSMAN SOLOMON P ORTIZ BLVD",
"city": "ROBSTOWN",
"state": "TX",
"postal_code": "783806139",
"telephone_number": "361-815-3686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11269 LEOPARD ST",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784102615",
"telephone_number": "361-693-5777"
}
],
"practiceLocations": [
{
"address_1": "4646 Corona Dr Ste 216",
"address_purpose": "LOCATION",
"city": "Corpus Christi",
"state": "TX",
"postal_code": "784114386",
"country_code": "US",
"telephone_number": "361-547-5541 x2",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HUMPHREY",
"first_name": "HOLLY",
"middle_name": "HERRERA",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-05-08",
"last_updated": "2025-06-12",
"certification_date": "2025-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "91561",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Corpus Christi, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.