Jason Holtgrewe, LPC-MHSP (TEMP)

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

5143 Issued in TN

Practice address

6363 Poplar Ave Ste 4
Memphis, TN 38119-4831

Phone

(901) 245-3518

NPI assigned

Nov 24, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1606176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606176000000",
    "number": "1346844008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "368 WOLF TRAP RD",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380172337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6363 POPLAR AVE STE 4",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381194831",
            "telephone_number": "901-245-3518"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6551 Stage Oaks Dr Ste 4",
            "address_purpose": "LOCATION",
            "city": "Bartlett",
            "state": "TN",
            "postal_code": "381343895",
            "country_code": "US",
            "telephone_number": "901-387-0026",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLTGREWE",
        "first_name": "JASON",
        "name_prefix": "Mr.",
        "credential": "LPC-MHSP (TEMP)",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-24",
        "last_updated": "2020-11-24",
        "certification_date": "2020-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "5143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Danielle Holt, MD
• Lee C Holt, M.D.
• Lyndsey Holt, RDH
• Sarah Phipps Holt, D.O.
• Tara C Holt, MSN,APRN, BC
• Rose M Marie Holton, M.D.
• Sara N Holton
• Shannon Holtrop, CGC, LGC
• McKasher Lashawn Holts, RN
• Lori Rae Holtzman, MD

• Mental Health Counselor in Memphis, TN
• Providers in Memphis, TN by specialty
• Mental Health Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; 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.