Individual provider Active NPI

Cecelia Melissa Holtrop

  • Mental Health Counselor
  • Orange Park, FL
National Provider Identifier
1386322279
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH8311 Issued in FL
Practice address
756 Arran CT
Orange Park, FL 32073-8410
Phone
(904) 403-4028
NPI assigned
Jul 10, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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 MH8311 FL Primary

Addresses

Primary practice location

756 Arran CT
Orange Park, FL 32073-8410

Mailing address

756 Arran CT
Orange Park, FL 32073-8410
Phone (904) 403-4028

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20240123004905 FL Practitioner - Mental Health Counselor 4688026859 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

752 Blanding Blvd
Suite 109
Orange Park, FL 32065-8710
Phone (904) 933-1260

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH8311FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Melissa Holtrop LLC Mental Health CurrentSince Sep 28, 2025 Accepting new patients

Locations

752 Blanding Blvd
Ste 109
Orange Park, FL 32065
Phone (904) 933-1260

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": "1688947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1386322279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "756 ARRAN CT",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320738410",
            "telephone_number": "904-403-4028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "756 ARRAN CT",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320738410",
            "telephone_number": "904-403-4028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLTROP",
        "first_name": "CECELIA",
        "middle_name": "MELISSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-10",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH8311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

Verify at the official NPI Registry.