Active NPI
Timothy Holsather, LMFT
- Marriage & Family Therapist
- Holly Ridge, NC
National Provider Identifier
1194065441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 1599
- Practice address
- 624 US Highway 17 S
Ste. 2
Holly Ridge, NC 28445-8660 - Phone
- (910) 616-2156
- NPI assigned
- Feb 25, 2013
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 1599 | NC | Primary |
Addresses
Primary practice location
624 US Highway 17 S
Ste. 2
Holly Ridge, NC 28445-8660
Mailing address
1921 Prestwick LN
Wilmington, NC 28405-4129
Phone (910) 616-2156
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 |
|---|---|---|---|
| 1599 | NC | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405296000000",
"number": "1194065441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1921 PRESTWICK LN",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284054129",
"telephone_number": "910-616-2156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "624 US HIGHWAY 17 S",
"address_2": "STE. 2",
"city": "HOLLY RIDGE",
"state": "NC",
"postal_code": "284458660",
"telephone_number": "910-616-2156"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLSATHER",
"first_name": "TIMOTHY",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-02-25",
"last_updated": "2014-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NC",
"license": "1599",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Holly Ridge, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.