Active NPI
Jeffrey Holthausen, LPC
- Professional Counselor
- Fort Washington, PA
National Provider Identifier
1003562182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC013807
- Practice address
- 550 Pinetown Rd Ste 430
Fort Washington, PA 19034-2609 - Phone
- (610) 615-0531
- NPI assigned
- Feb 26, 2022
- Last updated
- May 13, 2026
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC013807 | PA | Primary |
Addresses
Primary practice location
550 Pinetown Rd Ste 430
Fort Washington, PA 19034-2609
Mailing address
1109 Cymry Dr
Berwyn, PA 19312-2056
Phone (610) 420-0316
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC013807 | PA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778630400000",
"number": "1003562182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1109 CYMRY DR",
"city": "BERWYN",
"state": "PA",
"postal_code": "193122056",
"telephone_number": "610-420-0316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 PINETOWN RD STE 430",
"city": "FORT WASHINGTON",
"state": "PA",
"postal_code": "190342609",
"telephone_number": "610-615-0531"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLTHAUSEN",
"first_name": "JEFFREY",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-02-26",
"last_updated": "2026-05-13",
"certification_date": "2026-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC013807",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Washington, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.