Imac Soraya Reynaga Holmes, ED.D M.S. LPC LCADC
NPI 1447313911ActiveIndividual· Counselor, Professional· Williams, AZ
Counselor, Professional (ED.D M.S. LPC LCADC) in Williams, Arizona, licensed in AZ, PA and NJ, with an NPI issued in December 2006.
Overview
| NPI | 1447313911 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | ED.D M.S. LPC LCADC |
| Sole proprietor | Yes |
| NPI issued | Dec 18, 2006 |
| Last updated in NPPES | Jul 21, 2022 |
| Certified by provider | Jun 17, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | LPC-19884 | AZ |
| Counselor, Professional | 101YP2500X | PC004761 | PA |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | 37LC00163700 | NJ |
| Counselor, Professional | 101YP2500X | 37PC00398600 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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