Individual provider Active NPI

Celestine Marie Holt, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • South Hadley, MA
National Provider Identifier
1962741009
Registry record updated Mar 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
182841 Issued in MA
Practice address
30 Ashfield LN
South Hadley, MA 01075-1341
Phone
(413) 222-9998
NPI assigned
Feb 9, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 182841 MA Primary

Addresses

Primary practice location

30 Ashfield LN
South Hadley, MA 01075-1341

Mailing address

30 Ashfield LN
South Hadley, MA 01075-1341
Phone (413) 222-9998

Other names 1

  • Mrs. Celestine Marie Holt Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130509000118 MA Practitioner - Nurse Practitioner 4880831973 Reassigns benefits to 1 organization
Practice locations: Holyoke, MA

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

21 Mazzeo Dr
Suite 102
Randolph, MA 02368-3448
Phone (781) 885-7530

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
182841MAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Randolph Behavioral Health Services, Inc. CurrentSince Jul 10, 2021 Accepting new patients
Colony Care Inc CurrentSince Jun 1, 2024 Accepting new patients
Randolph Behavioral Health Services, Inc. CurrentSince Jul 10, 2021 Accepting new patients

Locations

175 Dwight Rd
Ste 204
Longmeadow, MA 01106
Phone (781) 431-1177

4 Frank Leary Way
#4
Randolph, MA 02368
Phone (781) 885-7530

21 Mazzeo Dr
Ste 102
Randolph, MA 02368
Phone (781) 437-7507

11 River St
Wellesley Hills, MA 02481
Phone (781) 237-7979

11 River St
Ste 1
Wellesley Hls, MA 02481
Phone (508) 695-7447

Organizations & group practices 3

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": "1360368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773619200000",
    "number": "1962741009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 ASHFIELD LN",
            "city": "SOUTH HADLEY",
            "state": "MA",
            "postal_code": "010751341",
            "telephone_number": "413-222-9998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 ASHFIELD LN",
            "city": "SOUTH HADLEY",
            "state": "MA",
            "postal_code": "010751341",
            "telephone_number": "413-222-9998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLT",
        "first_name": "CELESTINE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-09",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "182841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CELESTINE",
            "last_name": "HOLT",
            "middle_name": "MARIE",
            "prefix": "MRS.",
            "credential": "PMHNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in South Hadley, MA

Sources for this page

Verify at the official NPI Registry.