Active NPI
Jason D Holder, ED.D, LCMHC
- Mental Health Counselor
- Danville, NH
National Provider Identifier
1003093709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 192
- Practice address
- 197 Long Pond Rd.
Danville, NH 03819 - Phone
- (603) 382-4661
- Fax
- (603) 382-0571
- NPI assigned
- Jan 24, 2008
- Last updated
- Jan 24, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 192 | NH | Primary |
Addresses
Primary practice location
197 Long Pond Rd.
Danville, NH 03819
Mailing address
PO Box 395
Danville, NH 03819-0395
Phone (603) 382-4661
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adventurelore LLC | Mental Health | Past | Accepting new patients |
| Health Wealth Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Adventurelore Programs
- Community/Behavioral Health Agency
- Danville, NH
- NPI 1861678245
-
- Mental Health Counselor
- Danville, NH
- NPI 1457876054
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201132800000",
"number": "1003093709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 395",
"city": "DANVILLE",
"state": "NH",
"postal_code": "038190395",
"telephone_number": "603-382-4661",
"fax_number": "603-382-0571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "197 LONG POND RD.",
"city": "DANVILLE",
"state": "NH",
"postal_code": "03819",
"telephone_number": "603-382-4661",
"fax_number": "603-382-0571"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLDER",
"first_name": "JASON",
"middle_name": "D",
"credential": "ED.D, LCMHC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-01-24",
"last_updated": "2008-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NH",
"license": "192",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Danville, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.