Individual provider Active NPI

Terry Lee Holt II, MS, MA, LPC-MHSP-S

  • Professional Counselor
  • Knoxville, TN
National Provider Identifier
1609212489
Registry record updated Feb 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3010 Issued in TN
Practice address
9724 Kingston Pike Ste 601
Knoxville, TN 37922-6900
Phone
(865) 696-1699
NPI assigned
May 20, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 3010 TN Primary

Addresses

Primary practice location

9724 Kingston Pike Ste 601
Knoxville, TN 37922-6900

Mailing address

9724 Kingston Pike Ste 601
Knoxville, TN 37922-6900
Phone (865) 696-1699

Other names 1

  • Mr. T.L. Holt Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Master of Science

State licenses

LicenseStateTypeSpecialty
3010TNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ebenezer Counseling Services Professional Past Accepting new patients
Ebenezer Counseling Services Past Accepting new patients

Organizations & group practices 2

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": "1369008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739577600000",
    "number": "1609212489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9724 KINGSTON PIKE STE 601",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379226900",
            "telephone_number": "865-696-1699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9724 KINGSTON PIKE STE 601",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379226900",
            "telephone_number": "865-696-1699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLT",
        "first_name": "TERRY",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "MS, MA, LPC-MHSP-S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-20",
        "last_updated": "2025-02-15",
        "certification_date": "2025-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "3010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "T.L.",
            "last_name": "HOLT",
            "prefix": "MR.",
            "credential": "MS, MA, LPC-MHSP-S",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.