Individual provider Active NPI

Donald William Holmquist, MA, LMHP, LDAC

  • Mental Health Counselor
  • Lincoln, NE
National Provider Identifier
1205041175
Registry record updated May 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3707 Issued in NE
Practice address
3201 Pioneers Blvd
Ste. 202
Lincoln, NE 68502-5963
Phone
(402) 540-6586
NPI assigned
May 13, 2007
Last updated
May 6, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 839 NE
Mental Health Counselor 101YM0800X 3707 NE Primary

Addresses

Primary practice location

3201 Pioneers Blvd
Ste. 202
Lincoln, NE 68502-5963

Mailing address

3201 Pioneers Blvd Ste 202
Lincoln, NE 68502-5963
Phone (402) 540-6586

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240305003733 NE Practitioner - Mental Health Counselor 9335423078 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pine Lake Behavioral Health LLCGroup PAC ID 7810250164, 19 clinicians

Practice addresses (Care Compare)

9100 Andermatt Dr
Suite 1
Lincoln, NE 68526-6700
Phone 40243427302

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
839NEMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Pine Lake Behavioral Health, LLC. CurrentSince Mar 1, 2024 Accepting new patients
Heartland Surgical Services, LLC. CurrentSince Mar 1, 2024 Accepting new patients

Locations

9100 Andermatt Dr
Ste 1
Lincoln, NE 68526
Phone (402) 227-8157

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1179014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620259200000",
    "number": "1205041175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 PIONEERS BLVD STE 202",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685025963",
            "telephone_number": "402-540-6586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 PIONEERS BLVD",
            "address_2": "STE. 202",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685025963",
            "telephone_number": "402-540-6586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMQUIST",
        "first_name": "DONALD",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "MA, LMHP, LDAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-13",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NE",
            "license": "839",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "3707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.