Active NPI
Jan Lindholm, LMHC, CDP, LRCP
- Registered Respiratory Therapist
- Puyallup, WA
National Provider Identifier
1336155324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Respiratory Therapist
- License
- LR 00000696
- Practice address
- 400 E Pioneer
Suite 200
Puyallup, WA 98372-3255 - Phone
- (253) 279-7509
- Fax
- (253) 848-5700
- NPI assigned
- Jul 31, 2006
- Last updated
- Sep 11, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | LH00004558 | WA | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CP00002076 | WA | |
| Registered Respiratory Therapist | 227900000X | LR 00000696 | WA | Primary |
Addresses
Primary practice location
400 E Pioneer
Suite 200
Puyallup, WA 98372-3255
Mailing address
PO Box 1053
Gig Harbor, WA 98335-3053
Phone (253) 853-7971
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 |
|---|---|---|---|
| LH00004558 | WA | MD | Counselor |
| CP00002076 | WA | MD | Addiction (Substance Use Disorder) Counselor |
| LR 00000696 | WA | MD | Registered Respiratory Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Outsource 99, LLC | Counselor | Current | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Counselor
- Gig Harbor, WA
- NPI 1467041764
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1336155324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1053",
"city": "GIG HARBOR",
"state": "WA",
"postal_code": "983353053",
"telephone_number": "253-853-7971",
"fax_number": "253-848-5700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 E PIONEER",
"address_2": "SUITE 200",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983723255",
"telephone_number": "253-279-7509",
"fax_number": "253-848-5700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINDHOLM",
"first_name": "JAN",
"name_prefix": "Ms.",
"credential": "LMHC, CDP, LRCP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-31",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WA",
"license": "LH00004558",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WA",
"license": "CP00002076",
"primary": false
},
{
"code": "227900000X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Registered",
"state": "WA",
"license": "LR 00000696",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Puyallup, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.