Patrice L Holmes, M.S. ED., LSC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

10230509 Issued in IN

Practice address

12995 Star Dr
Fishers, IN 46037-5982

Phone

(317) 853-7514

NPI assigned

Sep 23, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Choice Medical Institute

  • Local Education Agency (LEA)
  • Indianapolis, IN
  • NPI 1477138709
  NPD
• Choice Therapy

  • Adult Mental Health Clinic/Center
  • Indianapolis, IN
  • NPI 1730793530
  NPD

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

{
    "created_epoch": "1600819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600819200000",
    "number": "1689281792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5433 N MEADOW DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462684033",
            "telephone_number": "317-258-4744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12995 STAR DR",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460375982",
            "telephone_number": "317-853-7514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "PATRICE",
        "middle_name": "L",
        "name_prefix": "Miss",
        "credential": "M.S. ED., LSC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-23",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "10230509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW APPLICANT",
            "identifier": "NA",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "alinacasey@ahgstaffing.net",
            "affiliation": "N",
            "endpointDescription": "company email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "12995 Star Dr",
            "city": "Fishers",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460375982",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Joseph Michael Holland, DDS
• Laura Hollenbeck, M.D.
• Christopher J Hollon, MD
• Lucien Holmberg
• Ashley Holmes
• Savannah Holmes, RBT
• Shavon Holmes, NP
• Julie Hoogerhyde Holt
• Marie Corbisiero Holt, DDS
• Home4Birth LLC

• Mental Health Counselor in Fishers, IN
• Providers in Fishers, IN by specialty
• Mental Health Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2020; 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.