Individual provider Active NPI

Lillie M Holcomb, MS

  • Professional Counselor
  • Paris, TN
National Provider Identifier
1669972709
Registry record updated Aug 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC4097 Issued in TN
Practice address
408 Virginia St
Paris, TN 38242-5341
Phone
(731) 642-0521
Fax
(731) 642-1010
NPI assigned
Feb 15, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC4097 TN Primary

Addresses

Primary practice location

408 Virginia St
Paris, TN 38242-5341

Mailing address

PO Box 30
Paris, TN 38242-0030
Phone (731) 642-0521

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240419003036 TN Practitioner - Mental Health Counselor 6204275464 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carey Counseling Center, Inc.Group PAC ID 4587658042, 10 clinicians

Practice addresses (Care Compare)

408 Virginia St
Paris, TN 38242-5341
Phone (731) 642-0521

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LPC4097TNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Carey Counseling Center, Inc. Mental Health CurrentSince Mar 6, 2024 Accepting new patients
Clarksville Behavioral Health, LLC PastSince Oct 17, 2017 Accepting new patients

Locations

300 Highway 641 N
Camden, TN 38320
Phone (731) 584-6999

19410 Main St W
Huntingdon, TN 38344
Phone (731) 986-4411

457 Hannings Ln
Martin, TN 38237
Phone (731) 480-0011

408 Virginia St
Paris, TN 38242
Phone (731) 644-1753

1263 US Highway 45 Byp N
Trenton, TN 38382

1409 N Morgan St
Union City, TN 38261
Phone (731) 885-8810

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/careycounselingcenter/r4/

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1518652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567036800000",
    "number": "1669972709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30",
            "city": "PARIS",
            "state": "TN",
            "postal_code": "382420030",
            "telephone_number": "731-642-0521",
            "fax_number": "731-642-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 VIRGINIA ST",
            "city": "PARIS",
            "state": "TN",
            "postal_code": "382425341",
            "telephone_number": "731-642-0521",
            "fax_number": "731-642-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLCOMB",
        "first_name": "LILLIE",
        "middle_name": "M",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-15",
        "last_updated": "2019-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "LPC4097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paris, TN

Sources for this page

Verify at the official NPI Registry.