Individual provider Active NPI

Erin Lynn Holznagel, M.A., LAMFT

  • Mental Health Counselor
  • Medina, MN
National Provider Identifier
1063234045
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
4549 Issued in MN
Practice address
821 Meander CT
Medina, MN 55340-4549
Phone
(320) 413-6328
NPI assigned
Oct 30, 2024
Last updated
Oct 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 4549 MN Primary

Addresses

Primary practice location

821 Meander CT
Medina, MN 55340-4549

Mailing address

6445 Rebecca Park TRL
Loretto, MN 55357-9601
Phone (651) 808-3709

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
4549MNMDOrthopedic Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1730246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1063234045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6445 REBECCA PARK TRL",
            "city": "LORETTO",
            "state": "MN",
            "postal_code": "553579601",
            "telephone_number": "651-808-3709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 MEANDER CT",
            "city": "MEDINA",
            "state": "MN",
            "postal_code": "553404549",
            "telephone_number": "320-413-6328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLZNAGEL",
        "first_name": "ERIN",
        "middle_name": "LYNN",
        "credential": "M.A., LAMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-30",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MN",
            "license": "4549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medina, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.