Marcos P Holtzman

Primary specialty

CounselorTaxonomy code 101Y00000X

License

19277 Issued in TX

Legal business name

MARCOS P HOLTZMAN

Doing business as

Lighthouse Counseling Center

Practice address

1231 E Levee St
Brownsville, TX 78520-5003

Phone

(956) 982-4511

Fax

(956) 544-7949

NPI assigned

Apr 8, 2008

Last updated

Jul 11, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Marcos P Holtzman, LPC LCDC

Title

Counselor

Phone

(956) 982-4511

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lighthouse Counseling Center Doing business as

Locations

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215734400000",
    "number": "1255504536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1231 E LEVEE ST",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785205003",
            "telephone_number": "956-982-4511",
            "fax_number": "956-544-7949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1231 E LEVEE ST",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785205003",
            "telephone_number": "956-982-4511",
            "fax_number": "956-544-7949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARCOS P HOLTZMAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-08",
        "last_updated": "2008-07-11",
        "status": "A",
        "authorized_official_last_name": "HOLTZMAN",
        "authorized_official_first_name": "MARCOS",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "956-982-4511",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC LCDC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "19277",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1706690501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lighthouse Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Counselor in Brownsville, TX
• Providers in Brownsville, TX by specialty
• Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.

Verify at the official NPI Registry.