NPIMap

Organization Active NPI

Rebecca M. Holdgrave, LMFT, Inc

  • Specialist
  • Atlanta, GA
National Provider Identifier
1720225220
Registry record updated Jan 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
LMFT917 Issued in GA
Legal business name
REBECCA M. HOLDGRAVE, LMFT, INC
Practice address
2993 Piedmont Rd NE
Atlanta, GA 30305-2768
Phone
(404) 483-1852
NPI assigned
Jan 21, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2009

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

Authorized official

Name
Rebecca Marie Holdgrave, LMFT
Title
President
Phone
(404) 483-1852

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X LMFT917 GA Primary

Addresses

Primary practice location

2993 Piedmont Rd NE
Atlanta, GA 30305-2768

Mailing address

3007 Smith Ridge Trce
Norcross, GA 30071-2645
Phone (404) 483-1852

Other identifiers 1

IdentifierTypeStateIssuer
1891847828OtherGAHUMANA

National Provider Directory

National Provider Directory

Locations

2993 Piedmont Rd NE
Atlanta, GA 30305
Phone (404) 237-1755

NPI Registry JSON

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

{
    "created_epoch": "1232496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232496000000",
    "number": "1720225220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3007 SMITH RIDGE TRCE",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300712645",
            "telephone_number": "404-483-1852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2993 PIEDMONT RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303052768",
            "telephone_number": "404-483-1852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBECCA M. HOLDGRAVE, LMFT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-21",
        "last_updated": "2009-01-21",
        "status": "A",
        "authorized_official_last_name": "HOLDGRAVE",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-483-1852",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "GA",
            "license": "LMFT917",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "1891847828",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2009; 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.