EMILY J HOLCOMB (NPI# 1598136053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598136053 |
| Entity Type | Individual |
| Full Name | EMILY J HOLCOMB |
| Other Name | EMILY J GANNON |
| Credential | LMFT |
| Practice Address |
1003 Martin Luther King Dr Bloomington IL 61701 |
| Mailing Address |
1003 Martin Luther King Dr Bloomington IL 61701-1429 |
| Practice Telephone | 3098203535 |
| Mailing Telephone | 3098203535 |
| Enumeration Date | 2015-10-09 |
| Last Update Date | 2019-11-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| Y | 106H00000X | Marriage & Family Therapist | 166.001311 | IL | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | MFT.0001569 | CO | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | LMFT-218 | WY | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | PMFT-279 | WY | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1003 Martin Luther King Dr, Bloomington, IL 61701 | 3098203535 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669940052 | Emily Brooke Holcomb | Technician, Pathology | 2018 Western Ave, Knoxville, TN 37921-5718 | 2018-11-05 |
| 1750785382 | Emily B Holcomb | Pharmacist | 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859-5001 | 2014-10-10 |
| Street Address |
1003 MARTIN LUTHER KING DR |
| City | BLOOMINGTON |
| State | IL |
| Zip Code | 61701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366431686 | Chestnut Health Systems Inc | Substance Abuse Rehabilitation Facility | 1003 Martin Luther King Dr, Bloomington, IL 61701-1429 | 2005-10-19 |
| 1740889252 | Shelby Lynn Harvey | Counselor | 1003 Martin Luther King Dr, Bloomington, IL 61701-1429 | 2020-10-26 |
| 1821619545 | Matthew William Porzel | Counselor | 1003 Martin Luther King Dr, Bloomington, IL 61701-1429 | 2020-05-05 |
| 1669092482 | Angie Marie Lessen | Counselor | 1003 Martin Luther King Dr, Bloomington, IL 61701-1429 | 2020-04-22 |
| 1659905560 | Kristen Satchwell | Social Worker | 1003 Martin Luther King Dr, Bloomington, IL 61701-1429 | 2020-02-29 |
| 1952941676 | John Lorio | Social Worker | 1003 Martin Luther King Dr, Bloomington, IL 61701-1429 | 2020-01-10 |
| 1437792835 | Sehar Reshamwala | Counselor | 1003 Martin Luther King Dr, Bloomington, IL 61701-1429 | 2019-10-18 |
| 1760974737 | Brittany Cline | Counselor | 1003 Martin Luther King Dr, Bloomington, IL 61701-1429 | 2018-06-05 |
| 1740770742 | Jason Daniel Reel-haas | Counselor | 1003 Martin Luther King Dr, Bloomington, IL 61701-1429 | 2018-05-15 |
| 1831692078 | Lisa Kelly Jones | Counselor | 1003 Martin Luther King Dr, Bloomington, IL 61701-1429 | 2018-03-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770140964 | County of Mclean | Community/Behavioral Health | 200 W Front St, 1st Floor Sw, C/o 200 W Front St, Suite 400f, Bloomington, IL 61701 | 2019-05-22 |
| 1023525292 | Karli Johnson | Counselor | 200 W Monroe St Ste C7, Bloomington, IL 61701 | 2018-01-09 |
| 1487172409 | Melody Ann Bauman | Physician Assistant | 1505 Eastland Dr, Osf Critical Cane, Pulmonary, Sleep M, Bloomington, IL 61701 | 2017-08-30 |
| 1215396288 | Heidi Larsen | Social Worker | 902 S East St, Bloomington, IL 61701 | 2016-02-18 |
| 1558735126 | Andrea E. Andrews Counseling LLC | Counselor | 200 W. Monroe St., Ste 302 C, Bloomington, IL 61701 | 2015-11-19 |
| 1174924856 | Carole Hahn | Dietitian, Registered | 1406 Forrest St, Bloomington, IL 61701 | 2014-09-12 |
| 1558786392 | Valerie Colleen Parker | Counselor | 109 W. Mulberry St., Bloomington, IL 61701 | 2014-03-04 |
| 1124459219 | Matilde Francois | Surgery | 1505 Eastland Dr Ste 2300, Bloomington, IL 61701 | 2013-11-27 |
| 1922435114 | Smitha H Shivaprasad | Pharmacist | 2611 East Oakland Avenue, Bloomington, IL 61701 | 2013-10-02 |
| 1295161941 | Ashvin Patel | Obstetrics & Gynecology | 31 Country Club Pl, Bloomington, IL 61701 | 2013-09-25 |
| Find all providers in zip 61701 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770092546 | Jessica Parker | Marriage & Family Therapist | 10624 Xavier Ave S, Bloomington, MN 55437-2726 | 2017-09-25 |
| 1366782336 | Anna Hollerich | Marriage & Family Therapist | 9048 Johnson Ave S, Bloomington, MN 55437-1806 | 2013-02-27 |
| 1548514136 | Katelyn J Minelli | Marriage & Family Therapist | 1136 W 17th St, Suite B, Bloomington, IN 47404-3002 | 2012-11-03 |
| 1093061301 | The Minnesota Center for Couples and Family Therapy, LLC | Marriage & Family Therapist | 1120 E 80th St, Suite 200, Bloomington, MN 55420-1462 | 2012-07-24 |
| 1093088544 | Timothy James Kaehr | Marriage & Family Therapist | 1801 American Blvd E, Suite 1, Bloomington, MN 55425-1232 | 2012-02-14 |
| 1003195082 | Judith Louise Ross Agustin | Marriage & Family Therapist | 8100 Penn Ave S Ste 150h, Bloomington, MN 55431-1346 | 2011-08-09 |
| 1477786218 | Schuyler Fisk Seager Vi | Marriage & Family Therapist | 1000 E 80th St, Bloomington, MN 55420-1424 | 2009-08-27 |
| 1740409242 | Erin Elizabeth Leach | Marriage & Family Therapist | 140 W 98th St, Suite 222, Bloomington, MN 55420-4865 | 2007-04-24 |
| 1073646964 | Joseph D Strano | Marriage & Family Therapist | 2 Whites Pl, Bloomington, IL 61701-1860 | 2007-03-13 |
| 1639236144 | Heidi D Schmidt | Marriage & Family Therapist | 9201 E Bloomington Fwy Ste Q, Bloomington, MN 55420-3413 | 2007-01-03 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 61701 |
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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.