Active NPI
Jeff Holland, MSW, LSW
- Community/Behavioral Health Agency
- Cincinnati, OH
National Provider Identifier
1497106942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- S.1303392
- Practice address
- 6881 Beechmont Ave
Cincinnati, OH 45230-2907 - Phone
- (513) 233-4842
- NPI assigned
- Jun 27, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | S.1303392 | OH | Primary |
Addresses
Primary practice location
6881 Beechmont Ave
Cincinnati, OH 45230-2907
Mailing address
6881 Beechmont Ave
Cincinnati, OH 45230-2907
Phone (513) 233-4842
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 |
|---|---|---|---|
| S.1303392 | OH | MD | Community/Behavioral Health Agency |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beech Acres Parenting Center | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
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.
-
- Adolescent and Children Mental Health Clinic/Center
- Cincinnati, OH
- NPI 1417921990
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466985600000",
"number": "1497106942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6881 BEECHMONT AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452302907",
"telephone_number": "513-233-4842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6881 BEECHMONT AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452302907",
"telephone_number": "513-233-4842"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLAND",
"first_name": "JEFF",
"credential": "MSW, LSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-06-27",
"last_updated": "2016-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "OH",
"license": "S.1303392",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.