Individual provider Active NPI

Kathryn Mae Holmes, MA, LPC

  • Professional Counselor
  • Gaylord, MI
National Provider Identifier
1760617724
Registry record updated May 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401008857 Issued in MI
Practice address
114 N Court Ave
Gaylord, MI 49735-1469
Phone
(989) 370-0564
NPI assigned
May 20, 2009
Sex
Female
Sole proprietor
Yes

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.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

114 N Court Ave
Gaylord, MI 49735-1469

5036 Dixie Hwy
Suite 261
Waterford, MI 48330

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6401008857MIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kathryn Holmes Counseling CurrentSince Mar 20, 2025 Accepting new patients

Locations

114 N Court Ave
Gaylord, MI 49735
Phone (231) 947-0511

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401008857 MI Primary

Addresses

NPPES NPI Registry

Primary practice location

114 N Court Ave
Gaylord, MI 49735-1469

Mailing address

114 N Court Ave
PO Box 501
Gaylord, MI 49735-1469
Phone (989) 370-0564

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 20, 2009.

{
    "created_epoch": "1242777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242777600000",
    "number": "1760617724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 N COURT AVE",
            "address_2": "PO BOX 501",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497351469",
            "telephone_number": "989-370-0564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 N COURT AVE",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497351469",
            "telephone_number": "989-370-0564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "KATHRYN",
        "middle_name": "MAE",
        "name_prefix": "Mrs.",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-20",
        "last_updated": "2009-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401008857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaylord, MI

Sources for this page

Verify at the official NPI Registry.