Individual provider Active NPI

Robert Holmes, LCSW

  • Mental Health Counselor
  • Mashpee, MA
National Provider Identifier
1598162653
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
174 Lowell Rd Unit 57
Mashpee, MA 02649-2830
Phone
(508) 566-7333
NPI assigned
Dec 4, 2014
Last updated
Sep 29, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary
Clinical Social Worker 1041C0700X C017510 NC

Addresses

Primary practice location

174 Lowell Rd Unit 57
Mashpee, MA 02649-2830

Mailing address

174 Lowell Rd Unit 57
Mashpee, MA 02649-2830
Phone (508) 566-7333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20231016001267 MA Practitioner - Clinical Social Worker 6406201136 Reassigns benefits to 1 organization
I20241206001639 NC Practitioner - Clinical Social Worker 6406201136 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Divine Wellness Therapeutic Center PLLC CurrentSince Oct 1, 2024 Accepting new patients
Clarity Point Counseling, LLC Clinical Current Accepting new patients
SB Transitional Sub, LLC CurrentSince Sep 2, 2023 Accepting new patients

Locations

103 Commercial St
Ste 2
Brockton, MA 02302

1115 W Chestnut St
Brockton, MA 02301
Phone (508) 559-0473

7 Scobee Cir
Plymouth, MA 02360
Phone (508) 322-0772

3077 N Main St
Ste 201
Hope Mills, NC 28348
Phone (910) 275-5766

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1417651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759104000000",
    "number": "1598162653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 LOWELL RD UNIT 57",
            "city": "MASHPEE",
            "state": "MA",
            "postal_code": "026492830",
            "telephone_number": "508-566-7333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 LOWELL RD UNIT 57",
            "city": "MASHPEE",
            "state": "MA",
            "postal_code": "026492830",
            "telephone_number": "508-566-7333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "ROBERT",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-12-04",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C017510",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mashpee, MA

Sources for this page

Verify at the official NPI Registry.