Individual provider Active NPI

Jean Ann Holoday, MA, LLPC, NCC

  • Counselor
  • Sterling Heights, MI
National Provider Identifier
1861655458
Registry record updated Aug 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6401010532 Issued in MI
Practice address
4725 Bruner Dr
Sterling Heights, MI 48310-2602
Phone
(258) 926-4856
NPI assigned
Jul 3, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6401010532 MI Primary

Addresses

Primary practice location

4725 Bruner Dr
Sterling Heights, MI 48310-2602

Mailing address

4725 Bruner Dr
Sterling Heights, MI 48310-2602
Phone (258) 926-4856

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6401010532MIMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217894400000",
    "number": "1861655458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4725 BRUNER DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483102602",
            "telephone_number": "258-926-4856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4725 BRUNER DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483102602",
            "telephone_number": "258-926-4856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLODAY",
        "first_name": "JEAN",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "MA, LLPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-03",
        "last_updated": "2008-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401010532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2008; 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.