NPIMap

Organization Active NPI

Holon Health Great Lakes, P.C.

Doing business as Holon Health

  • Peer Specialist
  • Page, AZ
National Provider Identifier
1275323685
Registry record updated Feb 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
Legal business name
HOLON HEALTH GREAT LAKES, P.C.
Doing business as
Holon Health
Practice address
160 6TH Ave
Page, AZ 86040-0209
Phone
(877) 465-6650
NPI assigned
May 8, 2025
Last updated
Feb 17, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2026

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

Authorized official

Name
Jason Herzog
Title
Ceo
Phone
(877) 754-4694

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X Primary

Addresses

Primary practice location

160 6TH Ave
Page, AZ 86040-0209

Mailing address

3540 Pump Rd # 1188
Richmond, VA 23233-1115
Phone (804) 955-5246

Other names 1

  • Holon Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Holon Health8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1746662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771286400000",
    "number": "1275323685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3540 PUMP RD # 1188",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232331115",
            "telephone_number": "804-955-5246",
            "fax_number": "804-294-2775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 6TH AVE",
            "city": "PAGE",
            "state": "AZ",
            "postal_code": "860400209",
            "telephone_number": "877-465-6650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLON HEALTH GREAT LAKES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-08",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A",
        "authorized_official_last_name": "HERZOG",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "877-754-4694"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holon Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Page, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2026; 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.