Active NPI
Andrea Lisa Holmes, LCSW
- Counselor
- Cortland, NY
National Provider Identifier
1912096512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 080014
- Practice address
- 10 North Main St
Family Counseling Services
Cortland, NY 13045 - Phone
- (607) 753-0234
- Fax
- (607) 753-0286
- NPI assigned
- Oct 12, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 080014 | NY | Primary |
Addresses
Primary practice location
10 North Main St
Family Counseling Services
Cortland, NY 13045
Mailing address
10 North Main St
Cortland, NY 13045
Phone (607) 753-0234
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01079267 | Medicaid | NY |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350864000000",
"number": "1912096512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 NORTH MAIN ST",
"city": "CORTLAND",
"state": "NY",
"postal_code": "13045",
"telephone_number": "607-753-0234",
"fax_number": "607-753-0286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 NORTH MAIN ST",
"address_2": "FAMILY COUNSELING SERVICES",
"city": "CORTLAND",
"state": "NY",
"postal_code": "13045",
"telephone_number": "607-753-0234",
"fax_number": "607-753-0286"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLMES",
"first_name": "ANDREA",
"middle_name": "LISA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-12",
"last_updated": "2012-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NY",
"license": "080014",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01079267",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cortland, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.