Individual provider Active NPI

Holly Herrera Humphrey

  • Professional Counselor
  • Corpus Christi, TX
National Provider Identifier
1386434769
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
91561 Issued in TX
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

Updated by the provider on Jun 12, 2025

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250626000062 TX Practitioner - Mental Health Counselor 5597277335 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Distinctive Counseling and Consulting PLLC CurrentSince May 9, 2025 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

Verify at the official NPI Registry.