Holistic Human Services, Inc.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

HOLISTIC HUMAN SERVICES, INC.

Practice address

150 Providence Rd
Suite 100-G
Chapel Hill, NC 27514-2208

Phone

(888) 582-0224

Fax

(888) 580-6555

NPI assigned

Mar 13, 2009

Organization subpart

No

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

Authorized official

Name

Keith Edward Green, M.ED.

Title

Program Director

Phone

(888) 582-0224

Specialties & licenses 6

Addresses

Other identifiers 8

Tax ID family

Holistic Human Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Holistic Human Services, Inc.

  • Mental Health Counselor
  • High Point, NC
  • NPI 1740517226
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1236902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306108800000",
    "number": "1982845392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 671",
            "city": "CARRBORO",
            "state": "NC",
            "postal_code": "275100671",
            "telephone_number": "888-582-0224",
            "fax_number": "888-580-6555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 PROVIDENCE RD",
            "address_2": "SUITE 100-G",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275142208",
            "telephone_number": "888-582-0224",
            "fax_number": "888-580-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC HUMAN SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-13",
        "last_updated": "2011-05-23",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "888-582-0224",
        "authorized_official_credential": "M.ED."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "5084",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "NC",
            "license": "1581",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "1449",
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NC",
            "license": "MHL-032-490",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6006774",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8302895",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "809275207C",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8302895B",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8302895G",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8302895H",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "809275207B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "809275207A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Raymond Lee Hogge III, MD
• Jason Michael Holbrook
• Connor Lee Holcomb, DNP CRNA
• Jacob Holcomb, PA
• Beverly Jean Holcombe, PHARMD
• Holly Gay Holland, OT
• Joan Marie Holland, LCSW
• Nancy K Holliman, MA, LCMHC
• Alison Hollis, MD
• Emily Susan Hollis, MD

• Mental Health Counselor in Chapel Hill, NC
• Providers in Chapel Hill, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.