Active NPI
Katie Holderby
- Professional Counselor
- South Point, OH
National Provider Identifier
1952893927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- E.2102353
- Practice address
- 178 Private Road 19423
South Point, OH 45680-8831 - Phone
- (740) 632-6262
- NPI assigned
- Jun 5, 2018
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Mental Health Counselor | 101YM0800X | C.1801069 | OH | |
| Professional Counselor | 101YP2500X | E.2102353 | OH | Primary |
Addresses
Primary practice location
178 Private Road 19423
South Point, OH 45680-8831
Mailing address
364 Private Drive 1577 County Road 25
Pedro, OH 45659
Other names 1
- Katie Markel
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
| License | State | Type | Specialty |
|---|---|---|---|
| C.1801069 | OH | MD | Mental Health Counselor |
| E.2102353 | OH | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625529600000",
"number": "1952893927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "364 PRIVATE DRIVE 1577 COUNTY ROAD 25",
"city": "PEDRO",
"state": "OH",
"postal_code": "45659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "178 PRIVATE ROAD 19423",
"city": "SOUTH POINT",
"state": "OH",
"postal_code": "456808831",
"telephone_number": "740-632-6262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLDERBY",
"first_name": "KATIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-06-05",
"last_updated": "2021-07-06",
"certification_date": "2021-07-06",
"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": "OH",
"license": "C.1801069",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E.2102353",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATIE",
"last_name": "MARKEL",
"code": "1",
"type": "Former Name"
}
]
}Other providers in South Point, OH
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- Andre Darian Howard
- Lauren Shae Howard I
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.