Individual provider Active NPI

Eric Leroy Holmes, LMHCA

  • Mental Health Counselor
  • Edmonds, WA
National Provider Identifier
1396433504
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
61429979 Issued in WA
Practice address
23803 100TH Ave W
Edmonds, WA 98020-5632
Phone
(702) 909-0956
NPI assigned
Apr 26, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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 61429979 WA Primary

Addresses

Primary practice location

23803 100TH Ave W
Edmonds, WA 98020-5632

Mailing address

23803 100TH Ave W
Edmonds, WA 98020-5632
Phone (702) 909-0956

Other practice location 1

4715 42nd Ave SW Apt 320
Seattle, WA 98116-4620
Phone (253) 881-9854

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
61429979WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Daniel Clinic, LLC Mental Health Past Accepting new patients

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": "1682467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1396433504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23803 100TH AVE W",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980205632",
            "telephone_number": "702-909-0956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23803 100TH AVE W",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980205632",
            "telephone_number": "702-909-0956"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4715 42nd Ave SW Apt 320",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981164620",
            "country_code": "US",
            "telephone_number": "253-881-9854",
            "fax_number": "253-409-2622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "ERIC",
        "middle_name": "LEROY",
        "credential": "LMHCA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-04-26",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "61429979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmonds, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; 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.