Active NPI
Jon Paul Solitro, LLPC
- Mental Health Counselor
- Holt, MI
National Provider Identifier
1659648228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 6401012737
- Practice address
- 4581 Tolland Ave
Holt, MI 48842-1125 - Phone
- (517) 802-8085
- NPI assigned
- Nov 25, 2011
- Last updated
- Nov 25, 2011
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 6401012737 | MI | Primary |
Addresses
Primary practice location
4581 Tolland Ave
Holt, MI 48842-1125
Mailing address
4581 Tolland Ave
Holt, MI 48842-1125
Phone (517) 802-8085
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 |
|---|---|---|---|
| 6401012737 | MI | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322179200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322179200000",
"number": "1659648228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4581 TOLLAND AVE",
"city": "HOLT",
"state": "MI",
"postal_code": "488421125",
"telephone_number": "517-802-8085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4581 TOLLAND AVE",
"city": "HOLT",
"state": "MI",
"postal_code": "488421125",
"telephone_number": "517-802-8085"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOLITRO",
"first_name": "JON",
"middle_name": "PAUL",
"credential": "LLPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-11-25",
"last_updated": "2011-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MI",
"license": "6401012737",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Holt, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.