Jessica Bolton Holt, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC008249 Issued in GA

Practice address

160 Andria Way NW
Cartersville, GA 30120-2252

Phone

(470) 272-5116

NPI assigned

Sep 16, 2010

Last updated

Jul 21, 2024By the provider in NPPES

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 names 1

• Dr. Jessica Bailey Former name

Medicare fee-for-service enrollment

Enrolled in GA

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

Specialty

Mental Health Counselor

Education

Other, 2017

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Southeast Permanente Medical Group

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1245266956
  Medicare reassignment NPD

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

{
    "created_epoch": "1284595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721520000000",
    "number": "1457669079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 ANDRIA WAY NW",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301202252",
            "telephone_number": "470-272-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 ANDRIA WAY NW",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301202252",
            "telephone_number": "470-272-5116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLT",
        "first_name": "JESSICA",
        "middle_name": "BOLTON",
        "name_prefix": "Dr.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-16",
        "last_updated": "2024-07-21",
        "certification_date": "2024-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "GA",
            "license": "1364633",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC008249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "BAILEY",
            "prefix": "DR.",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Roger Alan Hiser, MD
• Glenn Paul Hittel, MD
• Dawson Cole Holbrook, PA-S
• Gail V Holliday, CRNA
• James Holliday Jr.
• Holts Pharmacy Inc
• Home Medical Professionals
• Home Medical Systems Inc (Georgia Extended Medical)
• Homestead Hospice of Cartersville, LLC (Eternal Faith Hospice and Palliative Care)
• Homestead Hospice of Cartersville, LLC (Eternal Faith Hospice and Palliative Care)

• Professional Counselor in Cartersville, GA
• Providers in Cartersville, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.