Active NPI
Robert David Holdford, LCSW
- Mental Health Counselor
- Memphis, TN
National Provider Identifier
1710044532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 846
- Practice address
- 5100 Poplar Ave
27TH Floor
Memphis, TN 38137-4000 - Phone
- (901) 374-0761
- Fax
- (800) 490-9716
- NPI assigned
- Jan 2, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 846 | TN | Primary |
Addresses
Primary practice location
5100 Poplar Ave
27TH Floor
Memphis, TN 38137-4000
Mailing address
2151 Scenic View Dr
Nesbit, MS 38651-9648
Phone (662) 449-4683
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 |
|---|---|---|---|
| 846 | TN | MD | Foot & Ankle Surgery Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710044532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2151 SCENIC VIEW DR",
"city": "NESBIT",
"state": "MS",
"postal_code": "386519648",
"telephone_number": "662-449-4683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5100 POPLAR AVE",
"address_2": "27TH FLOOR",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381374000",
"telephone_number": "901-374-0761",
"fax_number": "800-490-9716"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLDFORD",
"first_name": "ROBERT",
"middle_name": "DAVID",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TN",
"license": "846",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.