Organization Active NPI

Holmes Impact Wellness, LLC

  • Community/Behavioral Health Agency
  • Tulsa, OK
National Provider Identifier
1508418179
Registry record updated Jul 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
HOLMES IMPACT WELLNESS, LLC
Practice address
2227 S Garnett Rd
Tulsa, OK 74129-5119
Phone
(539) 777-2956
NPI assigned
Jul 12, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2019

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

Authorized official

Name
Melinda Holmes, LPCNPI 1417218207
Title
Owner/Therapist
Phone
(539) 777-2956

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2227 S Garnett Rd
Tulsa, OK 74129-5119

Mailing address

3425 E Trenton St
Broken Arrow, OK 74014-8856
Phone (539) 777-2956

Other practice location 1

5350 S Western Ave Ste 201
Oklahoma City, OK 73109-4525
Phone (539) 777-2956

National Provider Directory

National Provider Directory

Locations

2227 S Garnett Rd
Tulsa, OK 74129
Phone (479) 595-2555

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1562889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562889600000",
    "number": "1508418179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3425 E TRENTON ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740148856",
            "telephone_number": "539-777-2956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2227 S GARNETT RD",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741295119",
            "telephone_number": "539-777-2956"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5350 S Western Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731094525",
            "country_code": "US",
            "telephone_number": "539-777-2956",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HOLMES IMPACT WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-12",
        "last_updated": "2019-07-12",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "539-777-2956",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2019; 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.