Individual provider Active NPI

Ellen Elizabeth Holbrook, MA

  • Professional Counselor
  • Reno, NV
National Provider Identifier
1881936284
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CP0150 Issued in NV
Practice address
3732 Lakeside Dr Ste 202
Reno, NV 89509-4519
Phone
(320) 220-0912
Fax
(507) 299-0436
NPI assigned
Mar 23, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X CP0150 NV Primary
Professional Counselor 101YP2500X CC00843 MN

Addresses

Primary practice location

3732 Lakeside Dr Ste 202
Reno, NV 89509-4519

Mailing address

3732 Lakeside Dr Ste 202
Reno, NV 89509-4519

Other practice location 1

241 S Washington St
Redwood Falls, MN 56283-1655
Phone (320) 220-0912

Other identifiers 1

IdentifierTypeStateIssuer
100553454MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
CC00843MNMDProfessional Counselor
CP0150NVMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
As the Sun Professional CurrentSince Aug 28, 2021 Accepting new patients

Locations

2120 60th Ave NE
Willmar, MN 56201
Phone (320) 403-5047

3732 Lakeside Dr
Ste 202
Reno, NV 89509
Phone (320) 905-4345

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1363996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783555200000",
    "number": "1881936284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3732 LAKESIDE DR STE 202",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895094519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3732 LAKESIDE DR STE 202",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895094519",
            "telephone_number": "320-220-0912",
            "fax_number": "507-299-0436"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "241 S Washington St",
            "address_purpose": "LOCATION",
            "city": "Redwood Falls",
            "state": "MN",
            "postal_code": "562831655",
            "country_code": "US",
            "telephone_number": "320-220-0912",
            "fax_number": "507-299-0436",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLBROOK",
        "first_name": "ELLEN",
        "middle_name": "ELIZABETH",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-23",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NV",
            "license": "CP0150",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "CC00843",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100553454",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.