Individual provider Active NPI

Michael Holmes Jr.

  • Professional Counselor
  • Lexington, KY
National Provider Identifier
1962966432
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
287698 Issued in KY
Practice address
496 Southland Dr
Lexington, KY 40503-1827
Phone
(859) 288-2425
Fax
(859) 721-2572
NPI assigned
Jan 29, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X KY
Professional Counselor 101YP2500X 287698 KY Primary
Professional Counselor 101YP2500X

Addresses

Primary practice location

496 Southland Dr
Lexington, KY 40503-1827

Mailing address

496 Southland Dr
Lexington, KY 40503-1827
Phone (859) 288-2425

Other identifiers 2

IdentifierTypeStateIssuer
1790731081MedicaidKY
1114932514MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20240607000621 KY Practitioner - Mental Health Counselor 9032651872 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthfirst Bluegrass IncGroup PAC ID 5890961593, 26 clinicians

Practice addresses (Care Compare)

496 Southland Dr
Lexington, KY 40503-1827
Phone (859) 288-2425

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
287698KYMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
New Vista of the Bluegrass Inc Current Accepting new patients
Healthfirst Bluegrass Inc CurrentSince Jun 18, 2024 Accepting new patients
New Vista of the Bluegrass CurrentSince Apr 13, 2024 Accepting new patients
New Vista of the Bluegrass Inc CurrentSince Apr 13, 2024 Accepting new patients
Healthfirst Bluegrass Inc. CurrentSince Jun 18, 2024 Accepting new patients

Locations

650 Newtown Pike
Lexington, KY 40508
Phone (859) 252-2371

576 E Third St
Ste 170
Lexington, KY 40508
Phone (859) 288-2478

496 Southland Dr
Lexington, KY 40503
Phone (859) 288-2392

1351 Newtown Pike
Bldg 5
Lexington, KY 40511
Phone (859) 233-0444

1351 Newtown Pike
Bldg 1
Lexington, KY 40511
Phone (858) 253-1686

360 W Loudon Ave
Lexington, KY 40508
Phone (859) 252-7881

201 Mechanic St
Lexington, KY 40507
Phone (859) 233-0444

1640 Bryan Station Rd
Ste 1
Lexington, KY 40505

1401 Harrodsburg Rd
Ste B165
Lexington, KY 40504
Phone (859) 303-9373

1060 Goodwin Dr
#110
Lexington, KY 40505

Organizations & group practices 5

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": "1548720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764720000000",
    "number": "1962966432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "496 SOUTHLAND DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405031827",
            "telephone_number": "859-288-2425",
            "fax_number": "859-721-2572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "496 SOUTHLAND DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405031827",
            "telephone_number": "859-288-2425",
            "fax_number": "859-721-2572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "MICHAEL",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-29",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "KY",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "287698",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790731081",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1114932514",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.