Active NPI
Ellen Elizabeth Holbrook, MA
- Professional Counselor
- Reno, NV
National Provider Identifier
1881936284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- CP0150
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100553454 | Medicaid | NV |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CC00843 | MN | MD | Professional Counselor |
| CP0150 | NV | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| As the Sun | Professional | Current | 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.
-
- Professional Counselor
- Reno, NV
- NPI 1821518929
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.