Amanda Holt

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

1109 Jefferson Rd Ste C
Charleston, WV 25309-8815

Phone

(866) 338-2725

NPI assigned

Oct 24, 2022

Last updated

Oct 24, 2022By the provider in NPPES

Sex

Female

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Devaraj Behavioral Healthcare PLLC

  • Psychiatry Physician
  • Charleston, WV
  • NPI 1093362840
  NPD
• Devaraj Behavioral Healthcare PLLC

  • Community/Behavioral Health Agency
  • Charleston, WV
  • NPI 1356980916
  NPD

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

{
    "created_epoch": "1666569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1952028748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1434 CLEARVIEW HTS",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253125312",
            "telephone_number": "304-590-1809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 JEFFERSON RD STE C",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253098815",
            "telephone_number": "866-338-2725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLT",
        "first_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-24",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Holstein, D.O
• Gabrielle Suzanne Holstein, FNP-BC
• Katie Lee Holstein
• Lindsey Nicole Holstein
• Teresa Holstein
• Andrew Holt
• Hope Holt
• Ashley J Holtsclaw
• Johnny Levi Holtzman, MD
• Hillary J Homburg, DDS

• Peer Specialist in Charleston, WV
• Providers in Charleston, WV by specialty
• Peer Specialist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; 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.