Rebecca D Holmes, LICENSED PROFESSIONA

Primary specialty

Pastoral CounselorTaxonomy code 101YP1600X

License

0710101825 Issued in VA

Practice address

610 Campus Dr
Abingdon, VA 24210-2589

Phone

(276) 525-1550

Fax

(276) 525-1609

NPI assigned

Aug 23, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1770690117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 CAMPUS DR",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242102589",
            "telephone_number": "276-525-1550",
            "fax_number": "276-525-1609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 CAMPUS DR",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242102589",
            "telephone_number": "276-525-1550",
            "fax_number": "276-525-1609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "REBECCA",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "LICENSED PROFESSIONA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "VA",
            "license": "0710101825",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "289403",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEERE HEALTHCARE",
            "identifier": "54097963215",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004945581",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diem My Ngoc Hoang, DO
• Mark Anthony Hodge, CRNA
• Erin Danielle Hogan, WHNP-BC, APRN, MSN
• Bethany Hogston
• Charity Holloway
• Sara Holston
• Kellie Holtzclaw, LCSW
• Home Nursing Service of Southwest Virginia, Inc.
• Hometown Hospice LLC
• William A Hood, DO

• Pastoral Counselor in Abingdon, VA
• Providers in Abingdon, VA by specialty
• Pastoral Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.