Individual provider Active NPI

Nicole Holland

  • Counselor
  • Reading, PA
National Provider Identifier
1053009530
Registry record updated Apr 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
1800 N 12TH St
Reading, PA 19604-1545
Phone
(610) 816-5728
NPI assigned
Apr 24, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

1800 N 12TH St
Reading, PA 19604-1545

Mailing address

2722 Beacon Dr
Sinking Spring, PA 19608-1797
Phone (484) 332-0820

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250725002804 PA Practitioner - Mental Health Counselor 6204343171 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Haven Behavioral Services of Reading, LLC CurrentSince Jun 27, 2025 Accepting new patients
Berkshire Psychiatric & Behavioral Health Services, PLLC Counselor CurrentSince Apr 30, 2023 Accepting new patients

Locations

1800 N 12th St
Reading, PA 19604
Phone (610) 375-0544

1800 N 12th St
Ste 2
Reading, PA 19604
Phone (610) 816-5728

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1682294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1053009530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2722 BEACON DR",
            "city": "SINKING SPRING",
            "state": "PA",
            "postal_code": "196081797",
            "telephone_number": "484-332-0820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 N 12TH ST",
            "city": "READING",
            "state": "PA",
            "postal_code": "196041545",
            "telephone_number": "610-816-5728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLAND",
        "first_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-24",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reading, PA

Sources for this page

Verify at the official NPI Registry.