Active NPI
Holli K Tinder, MS, LCPC, CAADC
- Professional Counselor
- Janesville, WI
National Provider Identifier
1396018131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180008756
- Practice address
- 2000 E Racine St Ste 120
Janesville, WI 53545-4300 - Phone
- (608) 247-1520
- NPI assigned
- Feb 9, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 178-007556 | IL | |
| Professional Counselor | 101YP2500X | 180008756 | IL | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 15854-132 | WI | |
| Professional Counselor | 101YP2500X | 5190-125 | WI |
Addresses
Primary practice location
2000 E Racine St Ste 120
Janesville, WI 53545-4300
Mailing address
67 S Blackhawk St
Janesville, WI 53545-2624
Phone (608) 247-1520
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396018131 | Medicaid | WI |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15854-132 | WI | MD | Addiction (Substance Use Disorder) Counselor |
| 178-007556 | IL | MD | Professional Counselor |
| 180008756 | IL | MD | Professional Counselor |
| 5190-125 | WI | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479081600000",
"number": "1396018131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "67 S BLACKHAWK ST",
"city": "JANESVILLE",
"state": "WI",
"postal_code": "535452624",
"telephone_number": "608-247-1520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 E RACINE ST STE 120",
"city": "JANESVILLE",
"state": "WI",
"postal_code": "535454300",
"telephone_number": "608-247-1520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TINDER",
"first_name": "HOLLI",
"middle_name": "K",
"credential": "MS, LCPC, CAADC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-02-09",
"last_updated": "2016-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "178-007556",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180008756",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WI",
"license": "15854-132",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "5190-125",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1396018131",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Janesville, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.