Individual provider Active NPI

Wendy Colleen Holder, M.ED., LPC, LCDC

  • Professional Counselor
  • Victoria, TX
National Provider Identifier
1962724849
Registry record updated Jul 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
63960
Practice address
506 Glascow St
Victoria, TX 77904-1406
Phone
(361) 576-3385
Fax
(361) 573-7425
NPI assigned
Feb 19, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 10550 TX
Professional Counselor 101YP2500X 63960 Primary

Addresses

Primary practice location

506 Glascow St
Victoria, TX 77904-1406

Mailing address

506 Glascow St
Victoria, TX 77904-1406
Phone (361) 576-3385

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20231204003627 TX Practitioner - Mental Health Counselor 2466800206 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reclamation Counseling Center PCGroup PAC ID 7113987066, 5 clinicians

Practice addresses (Care Compare)

506 Glascow St
Victoria, TX 77904-1406
Phone (361) 576-3385

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10550TXMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Reclamation Counseling Center, PC Professional CurrentSince Jan 1, 2024 Accepting new patients
Reclamation Counseling Center, PC CurrentSince Sep 20, 2020 Accepting new patients

Locations

506 Glascow St
Victoria, TX 77904
Phone (361) 576-3385

Organizations & group practices 2

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": "1266537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657497600000",
    "number": "1962724849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 GLASCOW ST",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779041406",
            "telephone_number": "361-576-3385",
            "fax_number": "361-573-7425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 GLASCOW ST",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779041406",
            "telephone_number": "361-576-3385",
            "fax_number": "361-573-7425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLDER",
        "first_name": "WENDY",
        "middle_name": "COLLEEN",
        "credential": "M.ED., LPC, LCDC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-19",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "10550",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": "63960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victoria, TX

Sources for this page

Verify at the official NPI Registry.