Active NPI
Eric Paul Holland
- Mental Health Counselor
- San Rafael, CA
National Provider Identifier
1235399676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 914 Mission Ave
FL 3
San Rafael, CA 94901-6106 - Phone
- (415) 457-6964
- NPI assigned
- Jun 10, 2008
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
914 Mission Ave
FL 3
San Rafael, CA 94901-6106
Mailing address
15 Blanca Dr
Novato, CA 94947
Phone (415) 898-5663
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213056000000",
"number": "1235399676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 BLANCA DR",
"city": "NOVATO",
"state": "CA",
"postal_code": "94947",
"telephone_number": "415-898-5663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "914 MISSION AVE",
"address_2": "FL 3",
"city": "SAN RAFAEL",
"state": "CA",
"postal_code": "949016106",
"telephone_number": "415-457-6964"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLAND",
"first_name": "ERIC",
"middle_name": "PAUL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-06-10",
"last_updated": "2008-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Rafael, CA
- Robert William Hoffman, DDS
- Destinie Lee Hoffmann, LMFT/APCC
- Gabrielle Hofilena, DPT
- Casey William Holden, NP
- Holistic Psych Care & Integrative Wellness LLC (Holos Health)
- Jennifer May Holland, RPT
- Mariko Holland, NURSE PRACTITIONER
- Matthew John Holland
- Carol Dutton Hollenberg, MFT
- Peter L Holleran, D.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.