Active NPI
Diane Holmes, CASI, MFT INTERN
- Marriage & Family Therapist
- Merced, CA
National Provider Identifier
1649307919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- IMF 55080
- Practice address
- 480 E 13TH St
Merced, CA 95340-6214 - Phone
- (209) 381-6800
- NPI assigned
- Feb 27, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 02-002866 | CA | |
| Marriage & Family Therapist | 106H00000X | IMF 55080 | CA | Primary |
Addresses
Primary practice location
480 E 13TH St
Merced, CA 95340-6214
Mailing address
PO Box 2087
Merced, CA 95344-0087
Phone (209) 381-6800
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 |
|---|---|---|---|
| 02-002866 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| IMF 55080 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196380800000",
"number": "1649307919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2087",
"city": "MERCED",
"state": "CA",
"postal_code": "953440087",
"telephone_number": "209-381-6800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "480 E 13TH ST",
"city": "MERCED",
"state": "CA",
"postal_code": "953406214",
"telephone_number": "209-381-6800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLMES",
"first_name": "DIANE",
"credential": "CASI, MFT INTERN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-27",
"last_updated": "2007-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "02-002866",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "IMF 55080",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Merced, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.