Individual provider Active NPI

Holton Ariel Daniel

  • Mental Health Counselor
  • Fort Gregg Adams, VA
National Provider Identifier
1366001695
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0701007229 Issued in VA
Practice address
700 24TH St
Fort Gregg Adams, VA 23801-1716
Phone
(804) 734-9572
NPI assigned
Jun 11, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0701007229 VA Primary

Addresses

Primary practice location

700 24TH St
Fort Gregg Adams, VA 23801-1716

Mailing address

464 Airport Dr
Lawrenceville, VA 23868-3238
Phone (434) 594-6692

Other names 1

  • Holton Ariel Thomas Former name

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
0701007229VAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Safe Haven Counseling Services, LLC CurrentSince Sep 11, 2022 Accepting new patients

Locations

233 N Main St
Ste B
Lawrenceville, VA 23868
Phone (434) 594-6692

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": "1560211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1366001695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "464 AIRPORT DR",
            "city": "LAWRENCEVILLE",
            "state": "VA",
            "postal_code": "238683238",
            "telephone_number": "434-594-6692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 24TH ST",
            "city": "FORT GREGG ADAMS",
            "state": "VA",
            "postal_code": "238011716",
            "telephone_number": "804-734-9572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIEL",
        "first_name": "HOLTON",
        "middle_name": "ARIEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-11",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701007229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HOLTON",
            "last_name": "THOMAS",
            "middle_name": "ARIEL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Gregg Adams, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.