Individual provider Active NPI

Anna Gabrielle Holtzman, LMHC

  • Mental Health Counselor
  • Jackson Heights, NY
National Provider Identifier
1750026852
Registry record updated May 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
012384 Issued in NY
Practice address
3323 73Rd St
Jackson Heights, NY 11372-1105
Phone
(646) 270-2082
NPI assigned
May 3, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 012384 NY Primary

Addresses

Primary practice location

3323 73Rd St
Jackson Heights, NY 11372-1105

Mailing address

3323 73Rd St
Jackson Heights, NY 11372-1105
Phone (646) 270-2082

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Theranest.com Other

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

NPI Registry JSON

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

{
    "created_epoch": "1651536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651536000000",
    "number": "1750026852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3323 73RD ST",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113721105",
            "telephone_number": "646-270-2082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3323 73RD ST",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113721105",
            "telephone_number": "646-270-2082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLTZMAN",
        "first_name": "ANNA",
        "middle_name": "GABRIELLE",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-03",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "012384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Theranest.com",
            "affiliation": "N",
            "endpointDescription": "Theranest",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Other",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Records",
            "address_1": "2915 W Charleston Blvd Ste 125",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891021939",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jackson Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.