Jennie Holden, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

048.0098981 Issued in VT

Practice address

136 N Main St
Unit 1
Barre, VT 05641-4170

Phone

(802) 272-2545

NPI assigned

Jul 7, 2010

Last updated

Nov 5, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in VT

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.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

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.

• Jennie Holden PLC

  dba Vitality Associates

  • Mental Health Counselor
  • Barre, VT
  • NPI 1679339147

  Clinical

  Medicare reassignment NPD Authorized official
• Jennie Holden PLC

  • Clinical Psychologist
  • Barre, VT
  • NPI 1396339347
  NPD (past) Authorized official

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

{
    "created_epoch": "1278460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446681600000",
    "number": "1285946251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 N MAIN ST",
            "address_2": "UNIT 1",
            "city": "BARRE",
            "state": "VT",
            "postal_code": "056414170",
            "telephone_number": "802-272-2545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 N MAIN ST",
            "address_2": "UNIT 1",
            "city": "BARRE",
            "state": "VT",
            "postal_code": "056414170",
            "telephone_number": "802-272-2545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLDEN",
        "first_name": "JENNIE",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-07",
        "last_updated": "2015-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VT",
            "license": "048.0098981",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AGENCY NPI",
            "identifier": "1285628552",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AGENCY MEDICAID",
            "identifier": "00355940",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alicia Herbert
• Stephen Hibbs, D.D.S
• Mikayla High
• Terrie Higley, PA
• Ann M. Hill, BS
• Julie Holland, APRN
• Heather A. Houle
• Justin Houle, DPT
• Joanna L. Hull, BCBA
• Kaylin M. Hunkins, BA

• Clinical Psychologist in Barre, VT
• Providers in Barre, VT by specialty
• Clinical Psychologist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2015; 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.