Scott Holtzleicer

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

303853 Issued in MN

Practice address

1145 Shenandoah LN N
Plymouth, MN 55447-3201

Phone

(612) 596-9198

Fax

(612) 321-3807

NPI assigned

Apr 7, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Community Resources for Education Alternative Treatments & Evaluation

  • Addiction (Substance Use Disorder) Counselor
  • Minneapolis, MN
  • NPI 1336212653
  NPD Authorized official
• Create Inc

  • Addiction (Substance Use Disorder) Counselor
  • Plymouth, MN
  • NPI 1730581646
  NPD

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

{
    "created_epoch": "1428364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428364800000",
    "number": "1922494988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 SHENANDOAH LN N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554473201",
            "telephone_number": "612-596-9198",
            "fax_number": "612-321-3807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 SHENANDOAH LN N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554473201",
            "telephone_number": "612-596-9198",
            "fax_number": "612-321-3807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLTZLEICER",
        "first_name": "SCOTT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-07",
        "last_updated": "2015-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "303853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• H Spencer Holmes, M.D.
• Nathan A Holmquist, PHARMD
• Sara Louise Holsather, PA-C
• Amy Lynn Holsten, M.S. CCC-SLP
• Jerry Lee Holt, LPC, LPCC LADC
• Home Care for All LLC
• Home Health Care Services LLC
• Homecare Assist, Inc.
• Cody C Honl, D.O.
• Terry W. Hood, M.D.

• Addiction (Substance Use Disorder) Counselor in Plymouth, MN
• Providers in Plymouth, MN by specialty
• Addiction (Substance Use Disorder) Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2015; 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.