Active NPI
Charles Stewart Holland, MHC-LP
- Mental Health Counselor
- Bronx, NY
National Provider Identifier
1184121816
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- P08988
- Practice address
- 750 Tilden St
Bronx, NY 10467-6013 - Phone
- (718) 231-3400
- NPI assigned
- Apr 10, 2018
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | P08988 | NY | Primary |
Addresses
Primary practice location
750 Tilden St
Bronx, NY 10467-6013
Mailing address
750 Tilden St
Bronx, NY 10467-6013
Phone (718) 231-3400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 141397918 | Other | NY | ASTOR SERVICES FOR CHILDREN & FAMILIES |
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 |
|---|---|---|---|
| P08988 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523318400000",
"number": "1184121816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "750 TILDEN ST",
"city": "BRONX",
"state": "NY",
"postal_code": "104676013",
"telephone_number": "718-231-3400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 TILDEN ST",
"city": "BRONX",
"state": "NY",
"postal_code": "104676013",
"telephone_number": "718-231-3400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLAND",
"first_name": "CHARLES",
"middle_name": "STEWART",
"name_prefix": "Mr.",
"credential": "MHC-LP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-10",
"last_updated": "2018-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "P08988",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASTOR SERVICES FOR CHILDREN & FAMILIES",
"identifier": "141397918",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.