John Robert Holland

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

20 Eastbrook Rd Ste 201
Dedham, MA 02026-2087

Phone

(781) 329-9365

Fax

(781) 302-4635

NPI assigned

May 18, 2022

Last updated

May 18, 2022By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Toward Independent Living & Learning, Inc.

  dba TILL, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Dedham, MA
  • NPI 1992898035
  NPD (past)
• Toward Independent Living and Learning

  dba TILL Medical Group

  • Neurology Physician
  • Dedham, MA
  • NPI 1528294832
  NPD (past)

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

{
    "created_epoch": "1652832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652832000000",
    "number": "1225775422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 EASTBROOK RD STE 201",
            "city": "DEDHAM",
            "state": "MA",
            "postal_code": "020262087",
            "telephone_number": "781-329-9365",
            "fax_number": "781-302-4635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 EASTBROOK RD STE 201",
            "city": "DEDHAM",
            "state": "MA",
            "postal_code": "020262087",
            "telephone_number": "781-329-9365",
            "fax_number": "781-302-4635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLAND",
        "first_name": "JOHN",
        "middle_name": "ROBERT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-05-18",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Dedham, MA
• Providers in Dedham, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.