Active NPI
A'Ja Holmes
- Professional Counselor
- Oak Lawn, IL
National Provider Identifier
1497579403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 178.019346
- Practice address
- 9631 S Cicero Ave # 1211
Oak Lawn, IL 60453-3137 - Phone
- (773) 234-4212
- Fax
- (773) 445-8845
- NPI assigned
- Nov 15, 2024
- 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 | 178.019346 | IL | Primary |
Addresses
Primary practice location
9631 S Cicero Ave # 1211
Oak Lawn, IL 60453-3137
Mailing address
9631 S Cicero Ave # 1211
Oak Lawn, IL 60453-3137
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
| License | State | Type | Specialty |
|---|---|---|---|
| 178.019346 | IL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731628800000",
"number": "1497579403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9631 S CICERO AVE # 1211",
"city": "OAK LAWN",
"state": "IL",
"postal_code": "604533137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9631 S CICERO AVE # 1211",
"city": "OAK LAWN",
"state": "IL",
"postal_code": "604533137",
"telephone_number": "773-234-4212",
"fax_number": "773-445-8845"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLMES",
"first_name": "A'JA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-11-15",
"last_updated": "2024-11-15",
"certification_date": "2024-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "178.019346",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oak Lawn, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.