Kori Rebekah Holland, LPC MHSP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

7682 Issued in TN

Practice address

402 Greenbelt Dr
Maryville, TN 37804-5702

Phone

(865) 224-6125

Fax

(865) 338-5383

NPI assigned

Dec 12, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Kori Rebekah Wright Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1733961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1538976691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "918 WILLIAMS ST",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378036720",
            "telephone_number": "865-221-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 GREENBELT DR",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378045702",
            "telephone_number": "865-224-6125",
            "fax_number": "865-338-5383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLAND",
        "first_name": "KORI",
        "middle_name": "REBEKAH",
        "name_prefix": "Ms.",
        "credential": "LPC MHSP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-12",
        "last_updated": "2025-03-11",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "7682",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "7682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KORI",
            "last_name": "WRIGHT",
            "middle_name": "REBEKAH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cole David Hoffman
• Philip Hoffman, M.D.
• Hogan Home Health Care, LLC
• Paul H Holcomb Jr., M.D.
• Caleb Holden
• Lamarr Holland, DMD
• Kelsey Holloway
• Gregory M Holmes, MD
• Holly Holmes, LMSW
• Austin Bradley Holmgren, DDS

• Mental Health Counselor in Maryville, TN
• Providers in Maryville, TN by specialty
• Mental Health Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; 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.