Active NPI
Nicole M Holbrook, MS, PCC
- Mental Health Counselor
- Dayton, OH
National Provider Identifier
1194951665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- E.0600268
- Practice address
- 601 S Edwin C Moses Blvd
Fourth Floor NW Building
Dayton, OH 45408-1424 - Phone
- (937) 276-8333
- Fax
- (937) 276-8339
- NPI assigned
- Jun 10, 2009
- Sex
- Female
- 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 | E.0600268 | OH | Primary |
Addresses
Primary practice location
601 S Edwin C Moses Blvd
Fourth Floor NW Building
Dayton, OH 45408-1424
Mailing address
601 S Edwin C Moses Blvd
Fourth Floor NW Building
Dayton, OH 45408-1424
Phone (937) 276-8333
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 |
|---|---|---|---|
| E.0600268 | OH | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314057600000",
"number": "1194951665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 S EDWIN C MOSES BLVD",
"address_2": "FOURTH FLOOR NW BUILDING",
"city": "DAYTON",
"state": "OH",
"postal_code": "454081424",
"telephone_number": "937-276-8333",
"fax_number": "937-276-8339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 S EDWIN C MOSES BLVD",
"address_2": "FOURTH FLOOR NW BUILDING",
"city": "DAYTON",
"state": "OH",
"postal_code": "454081424",
"telephone_number": "937-276-8333",
"fax_number": "937-276-8339"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLBROOK",
"first_name": "NICOLE",
"middle_name": "M",
"credential": "MS, PCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-10",
"last_updated": "2011-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "E.0600268",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.