Individual provider Active NPI

Crimson Dawnivee Holland, LPC

  • Counselor
  • Austin, TX
National Provider Identifier
1336360585
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
16246 Issued in TX
Practice address
1600 Payton Gin Rd
Austin, TX 78758-6506
Phone
(512) 836-2150
Fax
(512) 836-2159
NPI assigned
May 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 16246 TX Primary

Addresses

Primary practice location

1600 Payton Gin Rd
Austin, TX 78758-6506

Mailing address

1600 Payton Gin Rd
Austin, TX 78758-6506
Phone (512) 836-2150

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
16246TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Settlement Club Counselor Past 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": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1336360585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 PAYTON GIN RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787586506",
            "telephone_number": "512-836-2150",
            "fax_number": "512-836-2159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 PAYTON GIN RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787586506",
            "telephone_number": "512-836-2150",
            "fax_number": "512-836-2159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLAND",
        "first_name": "CRIMSON",
        "middle_name": "DAWNIVEE",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "16246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.