Dustin Holden, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

1384 Issued in MN

Practice address

8 N 2ND Ave E
Suite 310
Duluth, MN 55802-2102

Phone

(218) 722-1920

Fax

(218) 722-1920

NPI assigned

Mar 19, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 17, 2024 through Jan 17, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Moving Waters Counseling LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Duluth, MN
  • NPI 1831663483
  NPD Authorized official

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194849935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 N 2ND AVE E",
            "address_2": "SUITE 310",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558022102",
            "telephone_number": "218-722-1920",
            "fax_number": "218-722-1920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 N 2ND AVE E",
            "address_2": "SUITE 310",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558022102",
            "telephone_number": "218-722-1920",
            "fax_number": "218-722-1920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLDEN",
        "first_name": "DUSTIN",
        "name_prefix": "Mr.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "1384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "081463000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nathan E. Hoffmann, MD
• Anne Hofius
• Michael Richard Hogan, LMFT
• Deeann Marie Hogenson, APRN, CNP
• Danielle M.S. Holcombe, DPT
• Noah Alexander Holden, PA-C
• Kaylyn Joy Holets, APRN, CNP
• Laura Elisabeth Holien, DPT
• Holistic Transitions Healthcare LLC
• Jennifer Hollander, PTA

• Marriage & Family Therapist in Duluth, MN
• Providers in Duluth, MN by specialty
• Marriage & Family Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.