Active NPI
Rosemary Nordone Holt, MED, LPC, NCC
- Professional Counselor
- Southbury, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 65676
- Practice address
- 11E Heritage VLG
Southbury, CT 06488-5656 - Phone
- (214) 458-4372
- NPI assigned
- Dec 2, 2014
- Last updated
- Sep 23, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | CT | ||
| Professional Counselor | 101YP2500X | 65676 | TX | Primary |
Addresses
Primary practice location
11E Heritage VLG
Southbury, CT 06488-5656
Mailing address
11E Heritage VLG
Southbury, CT 06488-5656
Phone (214) 458-4372
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240103002232 | CT | Practitioner - Mental Health Counselor | 5395193270 | Practice locations: Southbury, CT |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
88 Main St S
Southbury, CT 06488-2276
Phone (214) 458-4372
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3798 | CT | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brightside Medical, P.C. | Single Specialty | Current | Accepting new patients |
Locations
2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615
2299 Summer St
Stamford, CT 06905
3571 Far West Blvd
Austin, TX 78731
Phone (512) 567-4737
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1417478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632355200000",
"number": "1790182087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11E HERITAGE VLG",
"city": "SOUTHBURY",
"state": "CT",
"postal_code": "064885656",
"telephone_number": "214-458-4372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11E HERITAGE VLG",
"city": "SOUTHBURY",
"state": "CT",
"postal_code": "064885656",
"telephone_number": "214-458-4372"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLT",
"first_name": "ROSEMARY",
"middle_name": "NORDONE",
"credential": "MED, LPC, NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-12-02",
"last_updated": "2021-09-23",
"certification_date": "2021-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "CT",
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "65676",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.