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HOLLY ROGERS DELOACH
NPI 1043175672
Counselor - Mental Health in Houston, TX

Active since December 17, 2025PECOS Enrolled
2200 SPACE PARK DR, HOUSTON, TX 77058(832) 225-8639 Get Directions Write a Review

NPPES record last updated: December 17, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Holly Rogers Deloach NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HOLLY ROGERS DELOACH (NPI 1043175672) is an individual mental health provider in Houston, Texas, licensed in Texas (90429) and active in the NPI registry since December 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1043175672
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameHOLLY ROGERS DELOACH
Location Address2200 SPACE PARK DRHouston, TX 77058-3677
Mailing Address2200 Space Park DrHouston, TX 77058-3677 · (832) 225-8639
Phone(832) 225-8639
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateDecember 17, 2025
NPPES CertifiedDecember 16, 2025
✔ NPI 1043175672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in TX · 90429
2200 SPACE PARK DR, Houston, TX 77058
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Holly Rogers Deloach is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2769960418
PECOS Enrollment IDI20260203001992
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SONYA GAYLE MORGAN DDS
Dentist
2200 SPACE PARK DR, SUITE 300
HOUSTON, TX 77058
Harris County (281) 333-3406
DR. BONITA ANN WYNKOOP D.D.S.
Dentist (General Practice)
2200 SPACE PARK DR, #300
NASSAU BAY, TX 77058
Harris County (281) 333-3406
RAUL SAENZ II DDS PA
Dentist
2200 SPACE PARK DR, STE 208
HOUSTON, TX 77058
Harris County (281) 335-5577

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Holly Deloach's NPI number?

The NPI number for Holly Deloach is 1043175672. It was assigned to this individual provider in the NPPES registry on December 17, 2025.

Where is Holly Deloach located?

Holly Deloach practices at 2200 Space Park Dr, Houston, TX 77058. The listed phone number is (832) 225-8639.

What is Holly Deloach's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Holly Deloach enrolled in Medicare?

Yes. Holly Deloach is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Holly Deloach was last updated on December 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.