Active NPI
Dustin Gene Holston, LSW
- Social Worker
- Cincinnati, OH
National Provider Identifier
1174287015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S.1903469
- Practice address
- 5300 Winneste Ave # 45232
Cincinnati, OH 45232-1133 - Phone
- (513) 901-0429
- NPI assigned
- Oct 27, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | S.1903469 | OH | Primary |
Addresses
Primary practice location
5300 Winneste Ave # 45232
Cincinnati, OH 45232-1133
Mailing address
PO Box 314
Kings Mills, OH 45034-0314
Phone (513) 594-9554
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| S.1903469 | Other | OH | COUNSELOR, SOCIAL WORKER & MFT BOARD |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S.1903469 | OH | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635292800000",
"number": "1174287015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 314",
"city": "KINGS MILLS",
"state": "OH",
"postal_code": "450340314",
"telephone_number": "513-594-9554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5300 WINNESTE AVE # 45232",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452321133",
"telephone_number": "513-901-0429"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLSTON",
"first_name": "DUSTIN",
"middle_name": "GENE",
"name_prefix": "Mr.",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-10-27",
"last_updated": "2021-10-27",
"certification_date": "2021-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S.1903469",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COUNSELOR, SOCIAL WORKER & MFT BOARD",
"identifier": "S.1903469",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.