Mildred V Holmes, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180000404 Issued in IL

Practice address

300 Republic Ave
Joliet, IL 60435-6520

Phone

(815) 725-1440

Fax

(815) 725-1550

NPI assigned

Feb 12, 2015

Last updated

Feb 12, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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

Specialty

Mental Health Counselor

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Healing Empowering and Learning Professionals LLCGroup PAC ID 5496024325, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Healing Empowering & Learning Professionals LLC

  dba Help LLC

  • Clinical Psychologist
  • Chicago, IL
  • NPI 1871883496
  Medicare reassignment Care Compare group
• Nasr LTD

  dba Joliet Behavioral Health

  • Child & Adolescent Psychiatry Physician
  • Joliet, IL
  • NPI 1245398502
  NPD (past)

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

{
    "created_epoch": "1423699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423699200000",
    "number": "1467843433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 BAYBROOK LN",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231607",
            "telephone_number": "815-725-1440",
            "fax_number": "815-725-1550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 REPUBLIC AVE",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604356520",
            "telephone_number": "815-725-1440",
            "fax_number": "815-725-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "MILDRED",
        "middle_name": "V",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-12",
        "last_updated": "2015-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180000404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryon West Hollenberg, D.D.S.
• Israeio Holloway, FOUNDER/CEO
• Mason Holman, PTA
• Everett L Holmes
• Klair A Holmes, DPT
• Home Air of Joliet,LTD.
• Home Dialysis Network Inc.
• Home Dialysis Services Holdings LLC
• Teryn Elizabeth Honeycutt, PA-C
• Hope and Divine Purpose Transitional Living Home, Inc

• Professional Counselor in Joliet, IL
• Providers in Joliet, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2015; 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.

Verify at the official NPI Registry.