Active NPI
Valerie Kay Holcomb, L.P.C.
- Professional Counselor
- Tyler, TX
National Provider Identifier
1750602488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 62386
- Practice address
- 2624 Kensington Dr
Suite 108
Tyler, TX 75703-2728 - Phone
- (903) 561-6341
- Fax
- (903) 561-6249
- NPI assigned
- Jun 16, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 62386 | TX | |
| Professional Counselor | 101YP2500X | 62386 | TX | Primary |
Addresses
Primary practice location
2624 Kensington Dr
Suite 108
Tyler, TX 75703-2728
Mailing address
2624 Kensington Dr
Suite 108
Tyler, TX 75703-2728
Phone (903) 561-6341
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
66 E Flagler St
Miami, FL 33130-1807
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62386 | TX | MD | Clinical Social Worker |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276646400000",
"number": "1750602488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2624 KENSINGTON DR",
"address_2": "SUITE 108",
"city": "TYLER",
"state": "TX",
"postal_code": "757032728",
"telephone_number": "903-561-6341",
"fax_number": "903-561-6249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2624 KENSINGTON DR",
"address_2": "SUITE 108",
"city": "TYLER",
"state": "TX",
"postal_code": "757032728",
"telephone_number": "903-561-6341",
"fax_number": "903-561-6249"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLCOMB",
"first_name": "VALERIE",
"middle_name": "KAY",
"credential": "L.P.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-16",
"last_updated": "2010-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "62386",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "62386",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.