Tom G Holt, LPC LMFT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

1242308 Issued in WI

Practice address

W156N8327 Pilgrim Rd Ste 302
Menomonee Falls, WI 53051-3776

Phone

(262) 251-1112

Fax

(262) 251-1113

NPI assigned

Nov 6, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Clinical Psychology Associates

  • Mental Health Counselor
  • Menomonee Falls, WI
  • NPI 1306058920
  NPD (past)

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1487733762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W156N8327 PILGRIM RD STE 302",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530513776",
            "telephone_number": "262-251-1112",
            "fax_number": "414-540-2171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W156N8327 PILGRIM RD STE 302",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530513776",
            "telephone_number": "262-251-1112",
            "fax_number": "262-251-1113"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3900 W Brown Deer Rd",
            "address_purpose": "LOCATION",
            "city": "Brown Deer",
            "state": "WI",
            "postal_code": "532091220",
            "country_code": "US",
            "telephone_number": "414-540-2170 x257",
            "fax_number": "414-540-2171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLT",
        "first_name": "TOM",
        "middle_name": "G",
        "credential": "LPC LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WI",
            "license": "505",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "1242308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39607200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Holista, LLC
• Ann-Michael Holland, AA-C
• Rebekka M Holland, CRNA, APNP
• Kimberly Renee Holle
• Charles Holmburg, M.D.
• Steven W Holtz, D.C.
• Susan Marie Honzelka, PHARM.D.
• Kathleen E Horowitz, MD
• David R Howard, AA
• Philip Y Hsu, RPH. MBA

• Mental Health Counselor in Menomonee Falls, WI
• Providers in Menomonee Falls, 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 Nov 14, 2023; 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.