Active NPI
Kory Alexander Holzer, PSYD
- Clinical Psychologist
- La Crosse, WI
National Provider Identifier
1023358645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 3447-57
- Practice address
- 4000 State Road 16
La Crosse, WI 54601-1809 - Phone
- (608) 304-8560
- NPI assigned
- Feb 19, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 3447-57 | WI | Primary |
| Counseling Psychologist | 103TC1900X | LP 5583 | MN |
Addresses
Primary practice location
4000 State Road 16
La Crosse, WI 54601-1809
Mailing address
1212 E College Dr
Marshall, MN 56258-2010
Phone (507) 532-3236
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3447-57 | WI | MD | Clinical Psychologist |
| LP 5583 | MN | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753228800000",
"number": "1023358645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1212 E COLLEGE DR",
"city": "MARSHALL",
"state": "MN",
"postal_code": "562582010",
"telephone_number": "507-532-3236",
"fax_number": "507-532-0240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4000 STATE ROAD 16",
"city": "LA CROSSE",
"state": "WI",
"postal_code": "546011809",
"telephone_number": "608-304-8560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLZER",
"first_name": "KORY",
"middle_name": "ALEXANDER",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-02-19",
"last_updated": "2025-07-23",
"certification_date": "2025-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WI",
"license": "3447-57",
"primary": true
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "MN",
"license": "LP 5583",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Crosse, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.