Individual provider Active NPI

Harold Edward Eckholm Jr., L.P.C.,M.F.T.,N.C.C

  • Counselor
  • Phoenix, AZ
National Provider Identifier
1336350164
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
30187 Issued in VA
Practice address
4414 E Lariat LN
Phoenix, AZ 85050-8590
Phone
(480) 699-6750
NPI assigned
May 24, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 30187 VA Primary
Mental Health Counselor 101YM0800X 0701001918 VA
Professional Counselor 101YP2500X LC 2332 AZ
Marriage & Family Therapist 106H00000X 0717000697 VA

Addresses

Primary practice location

4414 E Lariat LN
Phoenix, AZ 85050-8590

Mailing address

4414 E Lariat LN
Phoenix, AZ 85050-8590
Phone (480) 699-6750

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
30187VAMDCounselor
0701001918VAMDMental Health Counselor
LC 2332AZMDProfessional Counselor
0717000697VAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Building Blocks Counseling LLC Past Accepting new patients
Building Blocks Counseling LLC PastSince Mar 20, 2025 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1336350164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4414 E LARIAT LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850508590",
            "telephone_number": "480-699-6750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4414 E LARIAT LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850508590",
            "telephone_number": "480-699-6750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECKHOLM",
        "first_name": "HAROLD",
        "middle_name": "EDWARD",
        "name_suffix": "Jr.",
        "credential": "L.P.C.,M.F.T.,N.C.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "VA",
            "license": "30187",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701001918",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LC 2332",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "VA",
            "license": "0717000697",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

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.

Verify at the official NPI Registry.