KASEY S HOLYFIELD
NPI 1093074205
Counselor - Mental Health in Valdosta, GA

Active since May 08, 2012PECOS Enrolled
1801 CANTERBURY DR STE C, VALDOSTA, GA 31602(229) 244-2030 Get Directions Write a Review

NPPES record last updated: November 14, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kasey S Holyfield NPPES

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

KASEY S HOLYFIELD (NPI 1093074205) is an individual mental health provider in Valdosta, Georgia and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093074205
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKASEY S HOLYFIELD
Location Address1801 CANTERBURY DR STE CValdosta, GA 31602-0503
Mailing Address1801 Canterbury Dr Ste CValdosta, GA 31602-0503 · (229) 427-0057 · Fax (215) 258-8588
Sole ProprietorYes
Enumeration DateMay 8, 2012
Last NPPES UpdateNovember 14, 2024
NPPES CertifiedNovember 14, 2024
✔ NPI 1093074205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1801 CANTERBURY DR STE C, Valdosta, GA 31602

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kasey S Holyfield is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Kasey Holyfield reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mental Health
1801 CANTERBURY DR STE C
Valdosta, GA 31602
  • Reassigned Medicare billing, Georgia enrollment
  • 2 clinicians in this Medicare group
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Georgia enrollment
  • 994 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 4

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

Marriage & Family Therapist
1801 CANTERBURY DR STE C
VALDOSTA, GA 31602
Counselor (Mental Health)
1801 CANTERBURY DR STE C
VALDOSTA, GA 31602
Counselor (Mental Health)
1801 CANTERBURY DR STE C
VALDOSTA, GA 31602
Counselor (Mental Health)
1801 CANTERBURY DR STE C
VALDOSTA, GA 31602

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 Kasey Holyfield's NPI number?

The NPI number for Kasey Holyfield is 1093074205. It was assigned to this individual provider in the NPPES registry on May 8, 2012.

Where is Kasey Holyfield located?

Kasey Holyfield practices at 1801 Canterbury Dr Ste C, Valdosta, GA 31602. The listed phone number is (229) 244-2030.

What is Kasey Holyfield's specialty?

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

Is Kasey Holyfield enrolled in Medicare?

Yes. Kasey Holyfield is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kasey Holyfield's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kasey Holyfield reassigns Medicare benefits to 2 organizations: Thrive Therapy Center, LLC (Valdosta, GA) and Grow Healthcare Group PA (Miami, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kasey Holyfield's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kasey Holyfield accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Kasey Holyfield as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kasey Holyfield was last updated on November 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.