Active NPI
Kristi Holum, LPC
- Professional Counselor
- Gillette, WY
National Provider Identifier
1316317803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2032
- Practice address
- 201 W Lakeway Rd Ste 311
Gillette, WY 82718-6306 - Phone
- (307) 363-5930
- NPI assigned
- Sep 28, 2015
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | PPC-921 | WY | |
| Professional Counselor | 101YP2500X | 2032 | WY | Primary |
Addresses
Primary practice location
201 W Lakeway Rd Ste 311
Gillette, WY 82718-6306
Mailing address
1205 Brown Duck Dr
Gillette, WY 82718-6602
Phone (307) 290-2192
Other practice location 1
301 Richards Ave
Gillette, WY 82716-3632
Phone (307) 685-6982
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
| License | State | Type | Specialty |
|---|---|---|---|
| PPC-921 | WY | MD | Mental Health Counselor |
| 2032 | WY | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Solutions, LLC | Current | Accepting new patients | |
| Wise Counseling, LLC | Mental Health | Current | Accepting new patients |
Locations
201 W Lakeway Rd
Ste 311
Gillette, WY 82718
Phone (307) 363-5930
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.
-
- Mental Health Counselor
- Gillette, WY
- NPI 1700603230
-
- Community/Behavioral Health Agency
- Gillette, WY
- NPI 1821612698
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686873600000",
"number": "1316317803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1205 BROWN DUCK DR",
"city": "GILLETTE",
"state": "WY",
"postal_code": "827186602",
"telephone_number": "307-290-2192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 W LAKEWAY RD STE 311",
"city": "GILLETTE",
"state": "WY",
"postal_code": "827186306",
"telephone_number": "307-363-5930"
}
],
"practiceLocations": [
{
"address_1": "301 Richards Ave",
"address_purpose": "LOCATION",
"city": "Gillette",
"state": "WY",
"postal_code": "827163632",
"country_code": "US",
"telephone_number": "307-685-6982",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOLUM",
"first_name": "KRISTI",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-28",
"last_updated": "2023-06-16",
"certification_date": "2023-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WY",
"license": "PPC-921",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WY",
"license": "2032",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gillette, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.