Ebonie Holmes

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A12633 Issued in NC

Practice address

1121 W Chapel Hill St Ste 100
Durham, NC 27701-3080

Phone

(919) 385-0701

NPI assigned

Dec 16, 2016

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1481846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613088000000",
    "number": "1730623349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6616 PENFIELD ST",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275873468",
            "telephone_number": "919-827-2483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 W CHAPEL HILL ST STE 100",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277013080",
            "telephone_number": "919-385-0701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6616 Penfield St",
            "address_purpose": "LOCATION",
            "city": "Wake Forest",
            "state": "NC",
            "postal_code": "275873468",
            "country_code": "US",
            "telephone_number": "919-827-2483",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "EBONIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-16",
        "last_updated": "2021-02-12",
        "certification_date": "2021-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A12633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Holly-Crichlow, LPT
• Shaina Holman, D.D.S, PH.D.
• Shelley Anne Holmer, MD
• Christine Ebest Holmes
• Debra C Holmes, PA-C
• Megan Holmes, BSW
• Micheala Shawnta Holmes
• Paige Elizabeth Holmes
• Romel Joseph Holmes Jr., MD
• Valerie Frances Holmes, MD

• Mental Health Counselor in Durham, NC
• Providers in Durham, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2021; 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.