THEODIS JUNIOR HOLMES
NPI 1326400045
Counselor - Mental Health in Waukegan, IL

Active since March 22, 2016
3010 GRAND AVE, WAUKEGAN, IL 60085(847) 377-6868(847) 984-5659 Get Directions Write a Review

NPPES record last updated: March 22, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Theodis Junior Holmes NPPES

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

THEODIS JUNIOR HOLMES (NPI 1326400045) is an individual mental health provider in Waukegan, Illinois and active in the NPI registry since March 2016.

NPPES Registry Identity

NPI1326400045
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameTHEODIS JUNIOR HOLMES
Location Address3010 GRAND AVEWaukegan, IL 60085-2321
Mailing Address3010 Grand AveWaukegan, IL 60085-2321 · (847) 377-6868 · Fax (847) 984-5659
Fax(847) 984-5659
Sole ProprietorNo
Enumeration DateMarch 22, 2016
NPI 1326400045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
3010 GRAND AVE, Waukegan, IL 60085

Other Providers at the Same Location NPPES 20

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

Counselor (Addiction (Substance Use Disorder))
3010 GRAND AVE
WAUKEGAN, IL 60085
Counselor
3010 GRAND AVE
WAUKEGAN, IL 60085
Counselor (Addiction (Substance Use Disorder))
3010 GRAND AVE
WAUKEGAN, IL 60085
Nurse Practitioner (Family)
3010 GRAND AVE
WAUKEGAN, IL 60085
Counselor
3010 GRAND AVE
WAUKEGAN, IL 60085
Counselor (Mental Health)
3010 GRAND AVE
WAUKEGAN, IL 60085
Registered Nurse
3010 GRAND AVE
WAUKEGAN, IL 60085
Counselor
3010 GRAND AVE
WAUKEGAN, IL 60085

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 Theodis Holmes's NPI number?

The NPI number for Theodis Holmes is 1326400045. It was assigned to this individual provider in the NPPES registry on March 22, 2016.

Where is Theodis Holmes located?

Theodis Holmes practices at 3010 Grand Ave, Waukegan, IL 60085. The listed phone number is (847) 377-6868.

What is Theodis Holmes's specialty?

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

When was this NPI record last updated?

The NPPES record for Theodis Holmes was last updated on March 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.