Individual provider Active NPI

Jessie Harold Edward Holton, ED.D.

  • Addiction (Substance Use Disorder) Counselor
  • Bozeman, MT
National Provider Identifier
1497480784
Registry record updated Jul 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
BBH-ACLC-LIC-56946 Issued in MT
Practice address
2216 Boot Hill CT Ste 3
Bozeman, MT 59715-7215
Phone
(406) 600-5007
NPI assigned
Jul 20, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X BBH-ACLC-LIC-56946 MT Primary

Addresses

Primary practice location

2216 Boot Hill CT Ste 3
Bozeman, MT 59715-7215

Mailing address

36 E Fork Rd
Big Timber, MT 59011-7805
Phone (321) 289-0068

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

LicenseStateTypeSpecialty
BBH-ACLC-LIC-56946MTMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sunburst Health LLC Addiction (Substance Use Disorder) CurrentSince Dec 5, 2025 Accepting new patients

Locations

2216 Boothill Ct
Ste 3
Bozeman, MT 59715
Phone (406) 600-5007

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.

NPI Registry JSON

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

{
    "created_epoch": "1658275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658275200000",
    "number": "1497480784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 E FORK RD",
            "city": "BIG TIMBER",
            "state": "MT",
            "postal_code": "590117805",
            "telephone_number": "321-289-0068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2216 BOOT HILL CT STE 3",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597157215",
            "telephone_number": "406-600-5007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLTON",
        "first_name": "JESSIE",
        "middle_name": "HAROLD EDWARD",
        "name_prefix": "Dr.",
        "credential": "ED.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-20",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MT",
            "license": "BBH-ACLC-LIC-56946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; 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.