Active NPI
Joshua C. Holmes
- Clinical Social Worker
- Layton, UT
National Provider Identifier
1275966384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6531111-3501
- Practice address
- 880 Heritage Park Blvd Ste 230
Layton, UT 84041-5675 - Phone
- (801) 784-0264
- Fax
- (801) 682-8008
- NPI assigned
- Aug 12, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6531111-3502 | UT | |
| Clinical Social Worker | 1041C0700X | 6531111-3501 | UT | Primary |
Addresses
Primary practice location
880 Heritage Park Blvd Ste 230
Layton, UT 84041-5675
Mailing address
880 Heritage Park Blvd Ste 230
Layton, UT 84041-5675
Phone (801) 784-0264
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275966384 | Medicaid | UT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 1, 2026 through Apr 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6531111-3502 | UT | MD | Professional Counselor |
| 6531111-3501 | UT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healing Connections Counseling, LLC | Clinical | Current | Accepting new patients |
| Neurorev PLLC | Past | Accepting new patients |
Locations
880 Heritage Park Blvd
Ste 230
Layton, UT 84041
Phone (385) 393-4057
1513 N Hill Field Rd
Ste 1001
Layton, UT 84041
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Social Worker
- Layton, UT
- NPI 1811585375
-
- Physical Therapy Clinic/Center
- Centerville, UT
- NPI 1598229155
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670889600000",
"number": "1275966384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "880 HERITAGE PARK BLVD STE 230",
"city": "LAYTON",
"state": "UT",
"postal_code": "840415675",
"telephone_number": "801-784-0264",
"fax_number": "801-682-8008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "880 HERITAGE PARK BLVD STE 230",
"city": "LAYTON",
"state": "UT",
"postal_code": "840415675",
"telephone_number": "801-784-0264",
"fax_number": "801-682-8008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLMES",
"first_name": "JOSHUA",
"middle_name": "C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-08-12",
"last_updated": "2022-12-13",
"certification_date": "2022-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "UT",
"license": "6531111-3502",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "UT",
"license": "6531111-3501",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1275966384",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Layton, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.