Active NPI
Nancy Lynn Holden, MSLP
- Counseling Psychologist
- Waite Park, MN
National Provider Identifier
1427159284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- LP0936
- Practice address
- 110 2ND St S
Suite 222
Waite Park, MN 56387 - Phone
- (320) 259-7022
- Fax
- (320) 259-7022
- NPI assigned
- Sep 26, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | LP0936 | MN | Primary |
Addresses
Primary practice location
110 2ND St S
Suite 222
Waite Park, MN 56387
Mailing address
110 2ND St S
Suite 222
Waite Park, MN 56387
Phone (320) 259-7022
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6229337 | Other | UBH MEDICA | |
| 77178HO | Other | MN | BCBS |
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
| License | State | Type | Specialty |
|---|---|---|---|
| LP0936 | MN | MD | Counseling Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Divine Counseling & Consulting Services, PLLC | Past | Accepting new patients |
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.
-
- Professional Counselor
- Waite Park, MN
- NPI 1558776120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1427159284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 2ND ST S",
"address_2": "SUITE 222",
"city": "WAITE PARK",
"state": "MN",
"postal_code": "56387",
"telephone_number": "320-259-7022",
"fax_number": "320-259-7022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 2ND ST S",
"address_2": "SUITE 222",
"city": "WAITE PARK",
"state": "MN",
"postal_code": "56387",
"telephone_number": "320-259-7022",
"fax_number": "320-259-7022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLDEN",
"first_name": "NANCY",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "MSLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "MN",
"license": "LP0936",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UBH MEDICA",
"identifier": "6229337",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "77178HO",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Waite Park, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.