MELINDA HOLMES (NPI# 1417218207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417218207 |
| Entity Type | Individual |
| Full Name | MELINDA HOLMES |
| Credential | LPC |
| Practice Address |
5319 S Lewis Ave Tulsa OK 74105 |
| Practice Telephone | 9188327763 |
| Practice Fax Number | 9182928250 |
| Mailing Telephone | 9188327763 |
| Mailing Fax Number | 9182928250 |
| Enumeration Date | 2012-06-07 |
| Last Update Date | 2019-09-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
OK | Behavioral Health & Social Service Providers | |
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200287120A | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2001 S Garnett Rd Ste G, Tulsa, OK 741281838 | 5397772956 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518593888 | Melinda Michelle Holmes | Licensed Practical Nurse | 47 Seneca Manor Dr Apt D, Rochester, NY 14621-5427 | 2020-03-19 |
| 1740652031 | Melinda Desiree Holmes | Counselor | 8946 Interline Ave Ste A, Baton Rouge, LA 70809-1913 | 2015-10-26 |
| 1285024927 | Melinda Teres Holmes | Pharmacy Technician | 215 Mosaic Ct, Stephenson, VA 22656-1892 | 2015-02-03 |
| 1821481631 | Melinda Holmes | Massage Therapist | 7313 Highbridge Rd, Fayetteville, NY 13066-9779 | 2015-03-18 |
| Street Address |
5319 S LEWIS AVE |
| City | TULSA |
| State | OK |
| Zip Code | 74105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346276151 | Stephen O Glenn | Dentist | 5319 S Lewis Ave, Suite 222, Tulsa, OK 74105-6500 | 2006-06-23 |
| 1326685777 | Brandi Kaye Enekweizu | Counselor | 5319 S Lewis Ave, Tulsa, OK 74105 | 2019-12-04 |
| 1457709438 | Justin Michael Young | Dentist | 5319 S Lewis Ave, 222, Tulsa, OK 74105-6500 | 2016-05-31 |
| 1669884565 | Savanah Mcknight | Counselor | 5319 S Lewis Ave, Tulsa, OK 74105 | 2014-05-27 |
| 1083987853 | Susan Rabinovitz | Counselor | 5319 S Lewis Ave, Tulsa, OK 74105 | 2012-02-09 |
| 1023395548 | Tammy Cook | Counselor | 5319 S Lewis Ave, Tulsa, OK 74105 | 2011-11-11 |
| 1689958894 | Odetta Maria Moore | Counselor | 5319 S Lewis Ave, Suite 210, Tulsa, OK 74105-6500 | 2011-10-06 |
| 1629359880 | Palmer Continuum of Care | Counselor | 5319 S Lewis Ave, Tulsa, OK 74105-6500 | 2011-09-01 |
| 1346562337 | Kristen Nicole Blansett | Counselor | 5319 S Lewis Ave, Tulsa, OK 74105 | 2010-02-18 |
| 1952578981 | Jayme Joyce Woods | Counselor | 5319 S Lewis Ave, Tulsa, OK 74105 | 2008-05-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881208817 | Op Pharmacy LLC | Pharmacy | 2865 E. Skelly Dr., Ste 225, Tulsa, OK 74105 | 2020-09-08 |
| 1114560554 | Secure Interpretation, LLC | Neurological Surgery | 5561 South Lewis Ave, Tulsa, OK 74105 | 2019-10-17 |
| 1629547286 | Kealey Jordan Oliver | Occupational Therapist | 3223 E. 31st Steet, Tulsa, OK 74105 | 2018-11-13 |
| 1265915631 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 3516 S Peoria Ave, Tulsa, OK 74105 | 2018-09-12 |
| 1235635277 | Brenda Kay Sanders | Speech-Language Pathologist | 4911 S Detroit Ave, Tulsa, OK 74105 | 2018-03-30 |
| 1417400771 | Caroline Hunter Heineck | Speech-Language Pathologist | 3223 E. 31st St., Tulsa, OK 74105 | 2016-08-03 |
| 1437509544 | Reliance Care Health Services LLP | Home Health | 5810 S. Peoria Avenue, Tulsa, OK 74105 | 2016-06-20 |
| 1578921748 | Latisha Henderson | Case Manager/Care Coordinator | 3015 E. Skelly Drive, Suite 103, Tulsa, OK 74105 | 2016-02-03 |
| 1326424573 | Evelyn J Fennell | Nurse's Aide | 1143 E 57th Place, Tulsa, OK 74105 | 2015-08-10 |
| 1255717757 | Rebecca Ann Hughes | Dentist | 3150 E 41st St Ste 131, Tulsa, OK 74105 | 2015-08-06 |
| Find all providers in zip 74105 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437761004 | Ashley Jane Runnells | Counselor | 4867 S Sheridan Rd Ste 712a, Tulsa, OK 74145-5721 | 2020-08-17 |
| 1598316168 | Ryan David Sharpe | Counselor | 8218 S 77th East Ave Apt 1082, Tulsa, OK 74133-3966 | 2019-09-25 |
| 1588137780 | Hailee Dean Monroe | Counselor | 4103 S Yale Ave, Tulsa, OK 74135-6002 | 2019-01-10 |
| 1104308212 | Tawnya Denise Henderson | Counselor | 223 E Woodrow Pl, Tulsa, OK 74106-3729 | 2018-09-05 |
| 1003395617 | Crystal L Moore | Counselor | 8725 Point Dr, Tulsa, OK 74131-4028 | 2018-08-14 |
| 1386146660 | Breanna White | Counselor | 7541 S Mingo Rd Apt 7154, Tulsa, OK 74133-3384 | 2018-03-02 |
| 1699285015 | Christina M Smalley | Counselor | 600 Civic Ctr, Tulsa, OK 74103-3829 | 2017-10-11 |
| 1700395902 | Rachel Lynn Richardson | Counselor | 5800 E Skelly Dr Ste 1100, Tulsa, OK 74135-6448 | 2017-09-20 |
| 1023538014 | Milton Dean IIi | Counselor | 1234 N Rosedale, Tulsa, OK 74127 | 2017-06-21 |
| 1659800019 | Welena-phay Kamamma Boren | Counselor | 4636 S Harvard Avenue, Tulsa, OK 74135 | 2017-06-08 |
| Find all providers in TULSA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.