Individual provider Active NPI

Erica P Holmes, EDD, LPC

  • Professional Counselor
  • Southaven, MS
National Provider Identifier
1992271522
Registry record updated Dec 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2554 Issued in MS
Practice address
7145 Swinnea Rd Ste 2
Southaven, MS 38671-6380
Phone
(901) 647-9167
NPI assigned
Oct 22, 2018
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

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

LicenseStateTypeSpecialty
P-0109MSMDCounselor
2554MSMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Counseling Den Christian Counseling Center Professional CurrentSince Jan 8, 2023 Accepting new patients

Locations

7145 Swinnea Rd
Ste 2
Southaven, MS 38671
Phone (901) 590-9790

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X P-0109 MS
Professional Counselor 101YP2500X 2554 MS Primary

Addresses

NPPES NPI Registry

Primary practice location

7145 Swinnea Rd Ste 2
Southaven, MS 38671-6380

Mailing address

7145 Swinnea Rd Ste 2
Southaven, MS 38671-6380
Phone (901) 647-9167

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 31, 2022.

{
    "created_epoch": "1540166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672444800000",
    "number": "1992271522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7145 SWINNEA RD STE 2",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386716380",
            "telephone_number": "901-647-9167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7145 SWINNEA RD STE 2",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386716380",
            "telephone_number": "901-647-9167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "ERICA",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "EDD, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-22",
        "last_updated": "2022-12-31",
        "certification_date": "2022-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MS",
            "license": "P-0109",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": "2554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southaven, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2022; 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.