Active NPI
David L Holan, MA, LMHC
- Mental Health Counselor
- Winter Haven, FL
National Provider Identifier
1447461710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- PMH 909
- Practice address
- 50 Lakewood Cswy
Winter Haven, FL 33884-1120 - Phone
- (574) 210-7117
- Fax
- (863) 324-2018
- NPI assigned
- May 25, 2007
- Last updated
- Feb 18, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 39001268A | IN | |
| Mental Health Counselor | 101YM0800X | PMH 909 | FL | Primary |
Addresses
Primary practice location
50 Lakewood Cswy
Winter Haven, FL 33884-1120
Mailing address
50 Lakewood Cswy
Winter Haven, FL 33884-1120
Phone (574) 210-7117
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PMH 909 | FL | MD | Mental Health Counselor |
| 39001268A | IN | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234915200000",
"number": "1447461710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 LAKEWOOD CSWY",
"city": "WINTER HAVEN",
"state": "FL",
"postal_code": "338841120",
"telephone_number": "574-210-7117",
"fax_number": "863-324-2018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 LAKEWOOD CSWY",
"city": "WINTER HAVEN",
"state": "FL",
"postal_code": "338841120",
"telephone_number": "574-210-7117",
"fax_number": "863-324-2018"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLAN",
"first_name": "DAVID",
"middle_name": "L",
"credential": "MA, LMHC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-25",
"last_updated": "2009-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IN",
"license": "39001268A",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "PMH 909",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winter Haven, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.