Active NPI
Estina M Holder, LPC
- Professional Counselor
- Hattiesburg, MS
National Provider Identifier
1396977070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2889
- Practice address
- 100 Chickasaw Dr
Hattiesburg, MS 39401-2852 - Phone
- (601) 705-1901
- NPI assigned
- Aug 14, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 2889 | MS | |
| Mental Health Counselor | 101YM0800X | 0795 | MS | |
| Professional Counselor | 101YP2500X | 2889 | MS | Primary |
Addresses
Primary practice location
100 Chickasaw Dr
Hattiesburg, MS 39401-2852
Mailing address
100 Chickasaw Dr
Hattiesburg, MS 39401-2852
Phone (601) 705-1901
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2002
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
100 Chickasaw Dr
Hattiesburg, MS 39401-2852
803 Sunken Rd
Fredericksburg, VA 22401-5401
PO Box
Atlanta, GA 30374
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2889 | MS | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mental Health Specialty Group PA | Mental Health | Current | Accepting new patients |
Locations
232 Market St
Jackson, MS 39232
Phone (588) 498-6767
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": "1250208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754352000000",
"number": "1396977070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 CHICKASAW DR",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394012852",
"telephone_number": "601-705-1901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 CHICKASAW DR",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394012852",
"telephone_number": "601-705-1901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLDER",
"first_name": "ESTINA",
"middle_name": "M",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-14",
"last_updated": "2025-08-05",
"certification_date": "2025-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MS",
"license": "2889",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MS",
"license": "0795",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MS",
"license": "2889",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hattiesburg, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.