Individual provider Active NPI

Daniel Holland, L.P.C.

  • Professional Counselor
  • Virginia Beach, VA
National Provider Identifier
1720402969
Registry record updated Feb 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701005745 Issued in VA
Practice address
3149 Shore Dr Ste C
Virginia Beach, VA 23451-1129
Phone
(757) 739-8694
Fax
(757) 720-3599
NPI assigned
Feb 7, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2022

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 0701005745 VA Primary

Addresses

Primary practice location

3149 Shore Dr Ste C
Virginia Beach, VA 23451-1129

Mailing address

3820 Long Ship CT
Virginia Beach, VA 23455-1678
Phone (757) 291-4258

Other practice location 1

3820 Long Ship Ct
Virginia Beach, VA 23455-1678
Phone (757) 291-4258

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
0701005745VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Coast to Coast Counseling & Wellness, LLC Professional CurrentSince Nov 28, 2021 Accepting new patients

Locations

3149 Shore Dr
Ste C
Virginia Beach, VA 23451
Phone (757) 291-4258

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": "1391731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645401600000",
    "number": "1720402969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3820 LONG SHIP CT",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234551678",
            "telephone_number": "757-291-4258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3149 SHORE DR STE C",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234511129",
            "telephone_number": "757-739-8694",
            "fax_number": "757-720-3599"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3820 Long Ship Ct",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234551678",
            "country_code": "US",
            "telephone_number": "757-291-4258",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLLAND",
        "first_name": "DANIEL",
        "credential": "L.P.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-02-07",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701005745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.