Aaron Holt, CSAC
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Waupaca, WI
NPI 1275960734 · NPPES record last updated Nov 10, 2020
Key facts
- NPI
- 1275960734
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 15834-131 (WI)
- Practice address
- 200 N. Main St.
Waupaca, WI 54981 - Phone
- (715) 281-7710
- Fax
- (715) 345-0223
- NPI assigned
- Sep 30, 2013
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Core Treatment Services, Inc.
Practice addresses (Care Compare)
3733 Dewey St
Manitowoc, WI 54220-5844
Phone (920) 663-1035
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250414000913 | WI | Practitioner - Mental Health Counselor | 2567986375 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15834-131 | WI | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Core Treatment Services, Inc. | Current |
Accepting new patients | |
| Core Treatment Services, Inc. | Current |
Accepting new patients |
Locations
3733 Dewey St
Manitowoc, WI 54220
Phone (920) 663-1035
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 15834-131 | WI | Yes |
Addresses
Primary practice location
200 N. Main St.
Waupaca, WI 54981
Mailing address
200 N. Main St.
Waupaca, WI 54981
Phone (715) 281-7710
Other providers in Waupaca, WI
- Amanda Henke
- Tyler G Higginson
- Wendy Carroll Hill
- Hoffmann Clinic
- Whitney A Hoffmann
- Iris Health Clinic LLC
- Adam Michael Irwin
- Dawn Lynne Johnson
- Wendy G Johnson
- Kristen L Joness
All providers in Waupaca, WI · Addiction (Substance Use Disorder) Counselor in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 10, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.