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MICHAEL HOLMES JR.
NPI 1962966432
Counselor - Professional in Lexington, KY

Active since January 29, 2019PECOS EnrolledAccepts Medicare Assignment
496 SOUTHLAND DR, LEXINGTON, KY 40503(859) 288-2425(859) 721-2572 Get Directions Write a Review

NPPES record last updated: December 3, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 3, 2025, Jun 18, 2024, Jun 13, 2024 and 2 more (5 updates tracked since 2019).

About Michael Holmes Jr. NPPES

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

MICHAEL HOLMES JR. (NPI 1962966432) is an individual professional provider in Lexington, Kentucky, licensed in Kentucky (287698) and active in the NPI registry since January 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1962966432
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMICHAEL HOLMES JR.
Location Address496 SOUTHLAND DRLexington, KY 40503-1827
Mailing Address496 Southland DrLexington, KY 40503-1827 · (859) 288-2425 · Fax (859) 721-2572
Phone(859) 288-2425
Fax(859) 721-2572
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJanuary 29, 2019
Last NPPES UpdateDecember 3, 20255 updates tracked since enumeration
NPPES CertifiedDecember 3, 2025
✔ NPI 1962966432 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in KY · 287698
Also ListedCommunity Health WorkerTaxonomy 172V00000X
496 SOUTHLAND DR, Lexington, KY 40503
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Other Identifiers 2

Medicaid1790731081KY
Medicaid1114932514KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michael Holmes Jr. 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 ID9032651872
PECOS Enrollment IDI20240607000621
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 Michael Holmes reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Healthfirst Bluegrass Inc
Same address
Federally Qualified Health Center (FQHC)
496 SOUTHLAND DR
Lexington, KY 40503
  • Reassigned Medicare billing, Kentucky enrollment
  • 61 clinicians in this Medicare group
NPI 1114932514 (859) 288-2425
New Vista Of The Bluegrass Inc
3.2 mi
Mental Health (Including Community Mental Health Center)
627 W 4TH ST, ALLEN BLDG.
Lexington, KY 40508
  • Reassigned Medicare billing, Kentucky enrollment
  • 141 clinicians in this Medicare group
NPI 1780624668 (859) 253-1686

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 20

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

BHAVINI BHARAT MODY APRN
Nurse Practitioner (Pediatrics)
496 SOUTHLAND DR
LEXINGTON, KY 40503
Fayette County (859) 288-2425
MEAGAN GEE LCSW
Social Worker (Clinical)
496 SOUTHLAND DR
LEXINGTON, KY 40503
Fayette County (859) 288-2425
MS. ROSLYN YOUNG APRN, BS
Clinical Nurse Specialist (Psychiatric/Mental Health)
496 SOUTHLAND DR
LEXINGTON, KY 40503
Fayette County (859) 288-2425
MRS. TARA C STANFIELD LCSW
Social Worker
496 SOUTHLAND DR
LEXINGTON, KY 40503
Fayette County (859) 288-2425
LORI MAY FRYE
Nurse Practitioner (Psychiatric/Mental Health)
496 SOUTHLAND DR
LEXINGTON, KY 40503
Fayette County (859) 288-2425
SOFEIA ASLAM DO
Psychiatry & Neurology (Psychiatry)
496 SOUTHLAND DR
LEXINGTON, KY 40503
Fayette County (859) 288-2425
ANNE V HARGIS RPH
Pharmacist
496 SOUTHLAND DR
LEXINGTON, KY 40503
Fayette County (859) 288-2425
HILARY ELIZABETH HALVERSTADT D.M.D.
Dentist (General Practice)
496 SOUTHLAND DR
LEXINGTON, KY 40503
Fayette County (859) 288-2425

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 Michael Holmes's NPI number?

The NPI number for Michael Holmes is 1962966432. It was assigned to this individual provider in the NPPES registry on January 29, 2019.

Where is Michael Holmes located?

Michael Holmes practices at 496 Southland Dr, Lexington, KY 40503. The listed phone number is (859) 288-2425.

What is Michael Holmes's specialty?

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

Is Michael Holmes enrolled in Medicare?

Yes. Michael 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.

Which organizations bill Medicare for Michael Holmes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Holmes reassigns Medicare benefits to 2 organizations: Healthfirst Bluegrass Inc (Lexington, KY) and New Vista Of The Bluegrass Inc (Lexington, KY). 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 Michael Holmes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Holmes accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee, Anthem Blue Cross and Blue Shield and UnitedHealthcare list Michael 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 Michael Holmes was last updated on December 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.