Noel E Holdsworth, DNH, PMHNP-BC, CTS

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

184767 Issued in GA

Practice address

310 Black Bear Ridge
Black Bear Treatment Center
Sautee Nacoochee, GA 30571

Phone

(706) 200-4021

NPI assigned

Jun 16, 2006

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Beacon Clinic, Inc.

  • Mental Health Counselor
  • Port Charlotte, FL
  • NPI 1194803734
  NPD (past) Authorized official
• Black Bear Treatment Center LLC

  • Substance Abuse Rehabilitation Facility
  • Sautee, GA
  • NPI 1558788802
  NPD (past)
• Carolina Therapeutic Solutions

  • Adolescent and Children Mental Health Clinic/Center
  • Kings Mountain, NC
  • NPI 1720309289
  NPD (past)
• CGR Beacon Clinic, PA

  • Professional Counselor
  • Port Charlotte, FL
  • NPI 1841220811
  NPD (past)
• Winter Haven Hospital Inc

  • General Acute Care Hospital
  • Winter Haven, FL
  • NPI 1477599975
  NPD (past)

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1811931058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "847 N LAKESHORE BLVD",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338533821",
            "telephone_number": "706-768-5787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 BLACK BEAR RIDGE",
            "address_2": "BLACK BEAR TREATMENT CENTER",
            "city": "SAUTEE NACOOCHEE",
            "state": "GA",
            "postal_code": "30571",
            "telephone_number": "706-200-4021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLDSWORTH",
        "first_name": "NOEL",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "DNH, PMHNP-BC, CTS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-16",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "184767",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "0050-03355",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "ARNP2596452",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2047507",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allison Brice, NURSE PRACTITIONER
• Deana M Brooksher, DC
• Barbara N Camp, MD
• Elizabeth Anne Dykeman, FNP
• Isaac Walter Herring
• Integrity Home Care of North Georgia
• Amanda Leventhal, MCD CCC SLP
• Richard Martin Mitchell, M.D.
• Simply Medicine
• Paul Zitowitz, ACSW LCSW

• Psychiatric/Mental Health Nurse Practitioner in Sautee Nacoochee, GA
• Providers in Sautee Nacoochee, GA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Georgia

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