Holon Health Great Lakes, P.C.

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Legal business name

HOLON HEALTH GREAT LAKES, P.C.

Practice address

423 N Country Club Dr Ste 19
Mesa, AZ 85201-5718

Phone

(877) 465-6650

Fax

(804) 294-2775

NPI assigned

May 8, 2025

Organization subpart

No

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

Authorized official

Name

Jason Herzog

Title

Ceo

Phone

(804) 955-5246

Specialties & licenses 1

Addresses

Other names 1

• Holon Health Doing business as

Tax ID family

Holon Health8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

• Holon Health Great Lakes, P.C.

  • Peer Specialist
  • Page, AZ
  • NPI 1275323685
  NPD tax ID
• Holon Health Great Lakes, P.C.

  • Peer Specialist
  • Flagstaff, AZ
  • NPI 1295525608
  NPD tax ID
• Holon Health Great Lakes, P.C.

  • Peer Specialist
  • Phoenix, AZ
  • NPI 1386434041
  NPD tax ID
• Holon Health Great Lakes, P.C.

  • Peer Specialist
  • Kingman, AZ
  • NPI 1740073782
  NPD tax ID
• Holon Health Great Lakes, P.C.

  • Community Health Clinic/Center
  • Tucson, AZ
  • NPI 1740084896
  NPD tax ID
• Holon Health Great Lakes, P.C.

  • Peer Specialist
  • Phoenix, AZ
  • NPI 1942090352
  NPD tax ID
• Holon Health Great Lakes, P.C.

  • Family Medicine Physician
  • Glen Allen, VA
  • NPI 1194414805
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brian R Still, M.D.

  • Psychiatry Physician
  • Greer, SC
  • NPI 1245420314
  NPD (past)

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

{
    "created_epoch": "1746662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746662400000",
    "number": "1336939735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3540 PUMP RD # 1188",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232331115",
            "telephone_number": "804-955-5246",
            "fax_number": "804-294-2775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 N COUNTRY CLUB DR STE 19",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852015718",
            "telephone_number": "877-465-6650",
            "fax_number": "804-294-2775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLON HEALTH GREAT LAKES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-08",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A",
        "authorized_official_last_name": "HERZOG",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "804-955-5246"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holon Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sheila P Holly
• Adam G Holman, LCSW
• Analyn Reyes Holman, ACNP
• Sharon Ann Holmes, APRN,BC
• Christy Holmstrom, RRA
• Garrick Kenneth Holt
• Mickayla Holt, OTR/L
• Rachel Rose Holt, COTA/L
• Rachelle Holt, DPT
• Nicole Elizabeth Holthouse, FNP-C

• Peer Specialist in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Peer Specialist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.