Individual provider Active NPI

Karole Holtkamp, M.A. L.P.C.

  • Professional Counselor
  • Phoenix, AZ
National Provider Identifier
1831110485
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-0311 Issued in AZ
Practice address
2400 E Arizona Biltmore Cir
BDLG 4, Suite 2430
Phoenix, AZ 85016-2107
Phone
(602) 818-0711
Fax
(602) 795-1975
NPI assigned
Jul 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 LPC-0311 AZ Primary

Addresses

Primary practice location

2400 E Arizona Biltmore Cir
BDLG 4, Suite 2430
Phoenix, AZ 85016-2107

Mailing address

5221 N 22ND Dr
Phoenix, AZ 85015-2705
Phone (602) 818-8888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241211001063 AZ Practitioner - Mental Health Counselor 0840726097 Practice locations: Phoenix, AZ

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12231 N 19TH St
Apt 124
Phoenix, AZ 85022-5787
Phone (602) 818-0711

12231 N 19TH St Apt
Suite 124
Phoenix, AZ 85022-5787

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1831110485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5221 N 22ND DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850152705",
            "telephone_number": "602-818-8888",
            "fax_number": "602-795-1975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 E ARIZONA BILTMORE CIR",
            "address_2": "BDLG 4, SUITE 2430",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850162107",
            "telephone_number": "602-818-0711",
            "fax_number": "602-795-1975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLTKAMP",
        "first_name": "KAROLE",
        "name_prefix": "Ms.",
        "credential": "M.A. L.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-0311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.