Active NPI
Robert C. Holt, LMHC, MS
- Professional Counselor
- Aberdeen, WA
National Provider Identifier
1164686341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LH00010634
- Practice address
- 114 E 2ND St
Aberdeen, WA 98520-5214 - Phone
- (360) 500-1452
- Fax
- (360) 533-3351
- NPI assigned
- Jul 16, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 | LH00010634 | WA | Primary |
Addresses
Primary practice location
114 E 2ND St
Aberdeen, WA 98520-5214
Mailing address
114 E 2ND St
Aberdeen, WA 98520-5214
Phone (360) 500-1452
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LH00010634 | WA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216166400000",
"number": "1164686341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 E 2ND ST",
"city": "ABERDEEN",
"state": "WA",
"postal_code": "985205214",
"telephone_number": "360-500-1452",
"fax_number": "360-533-3351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 E 2ND ST",
"city": "ABERDEEN",
"state": "WA",
"postal_code": "985205214",
"telephone_number": "360-500-1452",
"fax_number": "360-533-3351"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLT",
"first_name": "ROBERT",
"middle_name": "C.",
"name_prefix": "Mr.",
"credential": "LMHC, MS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-07-16",
"last_updated": "2008-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WA",
"license": "LH00010634",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aberdeen, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.