1. Home
  2. Directory
  3. Mississippi
  4. Tupelo
  5. Counselor
  6. NPI Profile

SANDRA HOLMES PHD
NPI 1649890336
Counselor - Professional in Tupelo, MS

Active since April 22, 2020PECOS EnrolledAccepts Medicare Assignment
4579 S EASON BLVD, TUPELO, MS 38801(662) 377-3161 Get Directions Write a Review

NPPES record last updated: April 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sandra Holmes Phd NPPES

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

SANDRA HOLMES PHD (NPI 1649890336) is an individual professional provider in Tupelo, Mississippi, licensed in Mississippi (0377) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1649890336
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameSANDRA HOLMESCredential: PHD
Location Address4579 S EASON BLVDTupelo, MS 38801-6539
Mailing Address450 E President AveTupelo, MS 38801-5599 · (662) 377-3204
Phone(662) 377-3161
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateApril 22, 2020
NPPES CertifiedApril 22, 2020
✔ NPI 1649890336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MS · 0377
4579 S EASON BLVD, Tupelo, MS 38801
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sandra Holmes Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5698119022
PECOS Enrollment IDI20240214000235
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 13

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

MICHAEL TENNIS OLIVER PH.D.
Psychologist
4579 S EASON BLVD
TUPELO, MS 38801
Lee County (662) 377-3161
MS. CHARLOTTE RENAE GREEN PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
4579 S EASON BLVD
TUPELO, MS 38801
Lee County (662) 377-7590
PHILLIPA JONES LCSW
Social Worker (Clinical)
4579 S EASON BLVD
TUPELO, MS 38801
Lee County (662) 377-3161
NORTH MISSISSIPPI MEDICAL CENTER, INC.
Psychiatric Unit
4579 S EASON BLVD
TUPELO, MS 38801
Lee County (662) 377-3000
RHONDA SMART MS, LMFT
Marriage & Family Therapist
4579 S EASON BLVD
TUPELO, MS 38801
Lee County (662) 377-3115
MRS. GLORIA TEMPLE HOLLAND MA, LSW, LMFT
Marriage & Family Therapist
4579 S EASON BLVD
TUPELO, MS 38801
Lee County (662) 377-2865
SUSAN PATRICE HYATT PH.D.
Psychologist
4579 S EASON BLVD
TUPELO, MS 38801
Lee County (662) 377-3161
MARY CECILLE GOYSICH PSY.D.
Psychologist
4579 S EASON BLVD
TUPELO, MS 38801
Lee County (662) 377-3161

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 Sandra Holmes's NPI number?

The NPI number for Sandra Holmes is 1649890336. It was assigned to this individual provider in the NPPES registry on April 22, 2020.

Where is Sandra Holmes located?

Sandra Holmes practices at 4579 S Eason Blvd, Tupelo, MS 38801. The listed phone number is (662) 377-3161.

What is Sandra Holmes's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Sandra Holmes enrolled in Medicare?

Yes. Sandra Holmes is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Sandra Holmes accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 4 other insurers list Sandra Holmes 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 Sandra Holmes was last updated on April 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.