Jessica Holt, LMFTA, CDPT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MG60697242 Issued in WA

Practice address

1000 Auburn Way S
Auburn, WA 98002-6132

Phone

(253) 939-2202

Fax

(253) 735-1894

NPI assigned

Oct 12, 2016

Last updated

Oct 12, 2016By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1476230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476230400000",
    "number": "1467902569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 AUBURN WAY S",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980026132",
            "telephone_number": "253-939-2202",
            "fax_number": "253-735-1894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 AUBURN WAY S",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980026132",
            "telephone_number": "253-939-2202",
            "fax_number": "253-735-1894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLT",
        "first_name": "JESSICA",
        "credential": "LMFTA, CDPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-12",
        "last_updated": "2016-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CO60665416",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "MG60697242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haley Holborn
• Holistic Family Care Clinic LLC
• Haylee Ann Holland
• Andrew Martin Holloway, PT
• Amber Rose Holmes
• Brian Holtvedt
• Laural Hong
• Honor Home Care LLC (Honor Care)
• Janeen Rae Hook, MA, LMHC
• Janice Hooser, R.P.H

• Marriage & Family Therapist in Auburn, WA
• Providers in Auburn, WA by specialty
• Marriage & Family Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.

Verify at the official NPI Registry.