Individual provider Active NPI

Jeffry Matthew Holland

  • Marriage & Family Therapist
  • Orland, CA
National Provider Identifier
1144849977
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
151910 Issued in CA
Practice address
604 E Walker St
Orland, CA 95963-2203
Phone
(530) 865-6106
NPI assigned
Apr 12, 2020
Last updated
Dec 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Marriage & Family Therapist 106H00000X 128345 CA
Marriage & Family Therapist 106H00000X 151910 CA Primary

Addresses

Primary practice location

604 E Walker St
Orland, CA 95963-2203

Mailing address

1187 E South St
Orland, CA 95963-9136
Phone (530) 865-6459

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20251202000904 CA Practitioner - Marriage and Family Therapist 3274026943 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
County of GlennGroup PAC ID 9739341074, 8 clinicians

Practice addresses (Care Compare)

242 N Villa Ave
Willows, CA 95988-2641
Phone (530) 934-6347

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
128345CAMDMarriage & Family Therapist
151910CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
County of Glenn CurrentSince Oct 15, 2025 Accepting new patients
County of Glenn Current Accepting new patients
County of Glenn PastSince Dec 15, 2024 Accepting new patients

Locations

1187 E South St
Orland, CA 95963
Phone (530) 865-1146

604 E Walker St
Orland, CA 95963
Phone (530) 865-1165

242 N Villa Ave
Willows, CA 95988
Phone (530) 934-6347

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1586649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1144849977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1187 E SOUTH ST",
            "city": "ORLAND",
            "state": "CA",
            "postal_code": "959639136",
            "telephone_number": "530-865-6459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 E WALKER ST",
            "city": "ORLAND",
            "state": "CA",
            "postal_code": "959632203",
            "telephone_number": "530-865-6106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLAND",
        "first_name": "JEFFRY",
        "middle_name": "MATTHEW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-12",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "128345",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "151910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland, CA

Sources for this page

Verify at the official NPI Registry.