Active NPI
Holly Faye Humphreys, MS, ATR, LPC
- Professional Counselor
- Roanoke, VA
National Provider Identifier
1760709190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701004697
- Practice address
- 7851 Enon Dr
Roanoke, VA 24019-1515 - Phone
- (540) 265-5650
- NPI assigned
- Apr 25, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701004697 | VA | Primary |
Addresses
Primary practice location
7851 Enon Dr
Roanoke, VA 24019-1515
Mailing address
7851 Enon Dr
Roanoke, VA 24019-1515
Phone (540) 265-5650
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- 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, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3235 Electric Rd
Suite 1a
Roanoke, VA 24018-6404
Phone (855) 284-7483
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrive Counseling LLC | Multi-Specialty | Current | Accepting new patients |
| Hollins Communications Research Institute | Professional | Past | Accepting new patients |
| Belcher Enterprises LLC | Multi-Specialty | Past | Accepting new patients |
Locations
5310 Markel Rd
Ste 102
Richmond, VA 23230
Phone (804) 312-5498
3235 Electric Rd
Ste 1A
Roanoke, VA 24018
Phone (540) 210-1379
Organizations & group practices 3
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.
-
- Speech-Language Pathologist
- Roanoke, VA
- NPI 1083832356
Professional
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307318400000",
"number": "1760709190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7851 ENON DR",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240191515",
"telephone_number": "540-265-5650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7851 ENON DR",
"city": "ROANOKE",
"state": "VA",
"postal_code": "240191515",
"telephone_number": "540-265-5650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUMPHREYS",
"first_name": "HOLLY",
"middle_name": "FAYE",
"credential": "MS, ATR, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-04-25",
"last_updated": "2011-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701004697",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roanoke, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2011; 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.