Chelsy Holat, MS, NCC, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

4048-226 Issued in WI

Practice address

5555 N Port Washington Rd Ste 300
Milwaukee, WI 53217-4928

Phone

(414) 962-6764

Fax

(414) 962-6765

NPI assigned

Aug 15, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Chelsy Stevens Former name

Medicare fee-for-service enrollment

Enrolled in WI

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

Master of Science

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.

• North Shore Psychotherapy Associates IV

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Glendale, WI
  • NPI 1194809574
  Medicare reassignment NPD

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

{
    "created_epoch": "1534291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588723200000",
    "number": "1417437948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5555 N PORT WASHINGTON RD STE 300",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532174928",
            "telephone_number": "414-962-6764",
            "fax_number": "414-962-6765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 N PORT WASHINGTON RD STE 300",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532174928",
            "telephone_number": "414-962-6764",
            "fax_number": "414-962-6765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLAT",
        "first_name": "CHELSY",
        "credential": "MS, NCC, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-15",
        "last_updated": "2020-05-06",
        "certification_date": "2020-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "7773-125",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "4048-226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100081078",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHELSY",
            "last_name": "STEVENS",
            "credential": "MS, NCC, LPC-IT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Judie Noemie Hoilat, M.B.B.S
• Madison Elizabeth Hoisington, PA-C
• Chad Hoitink
• Michael Austin Hokenson, M.D.
• Renee Simeone Hokom, CNM, ARNP
• Hana M Holbus, L.AC.
• Melissa Holcomb
• Robert N Holdefer, PH.D.
• Mary Elizabeth Holden, PA-C
• Linda Kelly Holder-Wiltzius, LPC

• Mental Health Counselor in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Mental Health Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.