Individual provider Active NPI

Rebecca Marie Holdgrave, LMFT, NCACI

  • Marriage & Family Therapist
  • Warner Robins, GA
National Provider Identifier
1891847828
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
917 Issued in GA
Practice address
100 Katelyn Cir
Suite B
Warner Robins, GA 31088-6481
Phone
(478) 953-2122
Fax
(478) 953-2060
NPI assigned
Jan 18, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 917 GA Primary

Addresses

Primary practice location

100 Katelyn Cir
Suite B
Warner Robins, GA 31088-6481

Mailing address

320 Bonnie Dr
Warner Robins, GA 31088-6024
Phone (404) 483-1852

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
917GAMDMarriage & Family Therapist

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891847828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 BONNIE DR",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310886024",
            "telephone_number": "404-483-1852",
            "fax_number": "478-953-2060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 KATELYN CIR",
            "address_2": "SUITE B",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310886481",
            "telephone_number": "478-953-2122",
            "fax_number": "478-953-2060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLDGRAVE",
        "first_name": "REBECCA",
        "middle_name": "MARIE",
        "credential": "LMFT, NCACI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warner Robins, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.