ERIC HOLMES NPI 1053755868

NPI Information

  • NPI: 1053755868
  • Provider Name: ERIC HOLMES
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 1705 CRADDUCK RD
    ADA, OK
    ZIP 74820
  • Phone: (580) 310-9000

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NPI Details

Eric Holmes is a mental health counselor in Ada, OK. Eric Holmes NPI is 1053755868. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1705 CRADDUCK RD
ADA, OK
ZIP 74820-491
Phone: (580) 310-9000

The enumeration date for this NPI number is 4/23/2013 and was last updated on 11/21/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthJ081056657OKLAHOMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1100744520DMEDICAIDOKLAHOMA
2100744520BMEDICAIDOKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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