Edgar Joe Holt Jr., PH.D, LMFT, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

809 Issued in SC

Practice address

1117 Georgia Ave
Ste D
North Augusta, SC 29841-3012

Phone

(803) 278-4708

Fax

(803) 202-0360

NPI assigned

Sep 21, 2006

Sex

Male

Sole proprietor

Yes

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

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Family Center of Aiken

  • Family Medicine Physician
  • North Augusta, SC
  • NPI 1457026924
  NPD Authorized official
• The Family Center of Aiken County, LLC

  • Professional Counselor
  • North Augusta, SC
  • NPI 1124630868
  NPD Authorized official

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598572800000",
    "number": "1376642884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 GEORGIA AVE STE D",
            "city": "NORTH AUGUSTA",
            "state": "SC",
            "postal_code": "298416127",
            "telephone_number": "803-752-0404",
            "fax_number": "888-384-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 GEORGIA AVE",
            "address_2": "STE D",
            "city": "NORTH AUGUSTA",
            "state": "SC",
            "postal_code": "298413012",
            "telephone_number": "803-278-4708",
            "fax_number": "803-202-0360"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Hickman St",
            "address_purpose": "LOCATION",
            "city": "Graniteville",
            "state": "SC",
            "postal_code": "298292955",
            "country_code": "US",
            "telephone_number": "803-752-0404",
            "fax_number": "888-384-2250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLT",
        "first_name": "EDGAR",
        "middle_name": "JOE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "PH.D, LMFT, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theda Hilliard, RN
• Pamelia C Hiott, RN
• Kelley Hoffer, PSYD
• Brian P. Hoffman, M.S, CCC-SLP
• Jamie B Holmes, OTD, OTR/L
• Honey Pie Pediatric Therapy LLC
• Shari June Hooper, LPC
• Benjamin Hopkins
• Horizon Physical Therapy & Wellness
• Jessica Nichole Horton, PHARMD

• Professional Counselor in North Augusta, SC
• Providers in North Augusta, SC by specialty
• Professional Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.