Individual provider Active NPI

Carrie Edith Holden, LPC-MH SUPERVISEE

  • Mental Health Counselor
  • Watertown, SD
National Provider Identifier
1306683578
Registry record updated Jul 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
30912 Issued in SD
Practice address
421 32ND St NW
Watertown, SD 57201-5872
Phone
(605) 880-9281
NPI assigned
Jul 13, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 30912 SD Primary

Addresses

Primary practice location

421 32ND St NW
Watertown, SD 57201-5872

Mailing address

421 32ND St NW
Watertown, SD 57201-5872
Phone (605) 880-9281

Other names 1

  • Carrie Edith Holden Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
30912SDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Holden Counseling LLC Mental Health CurrentSince Oct 20, 2024 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1720828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720828800000",
    "number": "1306683578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 32ND ST NW",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572015872",
            "telephone_number": "605-880-9281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 32ND ST NW",
            "city": "WATERTOWN",
            "state": "SD",
            "postal_code": "572015872",
            "telephone_number": "605-880-9281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLDEN",
        "first_name": "CARRIE",
        "middle_name": "EDITH",
        "credential": "LPC-MH SUPERVISEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-13",
        "last_updated": "2024-07-13",
        "certification_date": "2024-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SD",
            "license": "30912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARRIE",
            "last_name": "HOLDEN",
            "middle_name": "EDITH",
            "credential": "LPC-MH SUPERVISEE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Watertown, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2024; 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.