Active NPI
Meredith Jane Holmes, ASW
- Counseling Psychologist
- Concord, CA
National Provider Identifier
1700430790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- Practice address
- 1333 Willow Pass Rd Ste 101
Concord, CA 94520-5225 - Phone
- (925) 825-1793
- NPI assigned
- Jul 28, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | Primary |
Addresses
Primary practice location
1333 Willow Pass Rd Ste 101
Concord, CA 94520-5225
Mailing address
4719 Geary Blvd Apt 608
San Francisco, CA 94118-2973
Phone (917) 238-0311
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Portia Bell Hume Behavioral Health and Training Center | Current | Accepting new patients |
Locations
1333 Willow Pass Rd
Ste 101
Concord, CA 94520
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Concord, CA
- NPI 1760489439
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686528000000",
"number": "1700430790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4719 GEARY BLVD APT 608",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941182973",
"telephone_number": "917-238-0311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1333 WILLOW PASS RD STE 101",
"city": "CONCORD",
"state": "CA",
"postal_code": "945205225",
"telephone_number": "925-825-1793"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLMES",
"first_name": "MEREDITH",
"middle_name": "JANE",
"credential": "ASW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-28",
"last_updated": "2023-06-12",
"certification_date": "2023-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Concord, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.