Active NPI
Kali Holyfield, LPC, LCDC
- Professional Counselor
- Austin, TX
National Provider Identifier
1962881581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 72260
- Practice address
- 5015 S Ih 35 Ste 200
Austin, TX 78744-2714 - Phone
- (214) 558-1554
- NPI assigned
- May 28, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 12776 | TX | |
| Professional Counselor | 101YP2500X | 72260 | TX | Primary |
Addresses
Primary practice location
5015 S Ih 35 Ste 200
Austin, TX 78744-2714
Mailing address
208 Palm Dr
Buda, TX 78610-5282
Phone (214) 558-1554
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kali.holyfield@integralcare.org |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12776 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1962881581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "208 PALM DR",
"city": "BUDA",
"state": "TX",
"postal_code": "786105282",
"telephone_number": "214-558-1554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5015 S IH 35 STE 200",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787442714",
"telephone_number": "214-558-1554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLYFIELD",
"first_name": "KALI",
"credential": "LPC, LCDC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-05-28",
"last_updated": "2023-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TX",
"license": "12776",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "72260",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kali.holyfield@integralcare.org",
"affiliation": "Y",
"address_1": "5015 S Ih 35 Ste 200",
"city": "Austin",
"state": "TX",
"country_code": "US",
"postal_code": "787442714",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.