Active NPI
Vasti Holstun, LPC
- Professional Counselor
- Colorado Springs, CO
National Provider Identifier
1235339417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 4551
- Practice address
- 6755 Earl Dr Ste 209
Colorado Springs, CO 80918-1039 - Phone
- (719) 310-0602
- NPI assigned
- Jul 24, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 4551 | CO | Primary |
Addresses
Primary practice location
6755 Earl Dr Ste 209
Colorado Springs, CO 80918-1039
Mailing address
4251 Date St
Colorado Springs, CO 80917-4907
Phone (719) 310-0602
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240711003603 | CO | Practitioner - Mental Health Counselor | 5395280572 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0004551 | CO | MD | Mental Health Occupational Therapist |
| 4551 | CO | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589500800000",
"number": "1235339417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4251 DATE ST",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809174907",
"telephone_number": "719-310-0602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6755 EARL DR STE 209",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809181039",
"telephone_number": "719-310-0602"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLSTUN",
"first_name": "VASTI",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-24",
"last_updated": "2020-05-15",
"certification_date": "2020-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "4551",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.