Jeffrey Edward Holt, LPC, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2001025351 Issued in MO

Practice address

4010 Washington
Suite 505
Kansas City, MO 64111

Phone

(816) 797-0039

Fax

(816) 569-6530

NPI assigned

Jul 18, 2006

Last updated

Mar 31, 2020By 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Specialty

Mental Health Counselor

Education

Other, 1999

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Alter Services, Inc.

  • Community/Behavioral Health Agency
  • Kansas City, MO
  • NPI 1659424554
  NPD (past)
• Monarch Psychiatry of Alaska LLC

  • Adult Mental Health Clinic/Center
  • Anchorage, AK
  • NPI 1891200911
  NPD (past)

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585612800000",
    "number": "1265451843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5933 RIDGEWAY AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641334312",
            "telephone_number": "816-797-0039",
            "fax_number": "816-569-6530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 WASHINGTON",
            "address_2": "SUITE 505",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "64111",
            "telephone_number": "816-797-0039",
            "fax_number": "816-569-6530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLT",
        "first_name": "JEFFREY",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2020-03-31",
        "certification_date": "2020-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2001025351",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2001025351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "495025710",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paula Yvonne Holmes, APRN
• Thomas Reed Holmes, DDS
• Tracy K Holmes
• Holmesdale Healthcare and Rehabilitation Center, LLC (Holmesdale Healthcare and Rehabilitation Center)
• Johanna Holswade, LPC
• Kathryn Marie Holt, PHARMD
• Olivia Jo Holt
• Peter S Holt, MD
• Maxwell David Holtmann, MD
• Caroline Rowley Holton, M.D.

• Professional Counselor in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.