Individual provider Active NPI

Felecia B. Holley, MA

  • Mental Health Counselor
  • Lexington, SC
National Provider Identifier
1841359338
Registry record updated Jul 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6164 Issued in SC
Practice address
301 Palmetto Park Blvd
Lexington, SC 29072-7872
Phone
(803) 996-1500
NPI assigned
Dec 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Mental Health Counselor 101YM0800X 6164 SC Primary

Addresses

Primary practice location

301 Palmetto Park Blvd
Lexington, SC 29072-7872

Mailing address

108 Palmetto Park Blvd Ste D
Lexington, SC 29072-7969
Phone (803) 996-1500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240905001433 SC Practitioner - Mental Health Counselor 9133669153 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

301 Palmetto Park Blvd
Lexington, SC 29072-7872
Phone (803) 359-3545

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6164SCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
South Carolina Dept of Mental Health Accounting Office CurrentSince Aug 9, 2024 Accepting new patients
South Carolina Dept of Mental Health Accounting Office CurrentSince Aug 9, 2024 Accepting new patients
South Carolina Dept of Mental Health Accounting Office Current Accepting new patients

Locations

215 Palmetto Park Blvd
Lexington, SC 29072
Phone (803) 756-1000

108 Palmetto Park Blvd
Ste D
Lexington, SC 29072
Phone (803) 356-0949

301 Palmetto Park Blvd
Lexington, SC 29072
Phone (803) 359-3545

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.

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689292800000",
    "number": "1841359338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 PALMETTO PARK BLVD STE D",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290727969",
            "telephone_number": "803-996-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 PALMETTO PARK BLVD",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290727872",
            "telephone_number": "803-996-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLEY",
        "first_name": "FELECIA",
        "middle_name": "B.",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "6164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, SC

Sources for this page

Verify at the official NPI Registry.