Nelson John Holmberg, M.A.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH60136969 Issued in WA

Practice address

2203 Old Highway 99 S Rd
Mt Vernon, WA 98273

Phone

(360) 542-8810

Fax

(360) 542-8811

NPI assigned

Dec 4, 2008

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

Credentials

Master of Arts

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.

• Sea Mar Community Health Centers

  • Federally Qualified Health Center (FQHC)
  • Mount Vernon, WA
  • NPI 1407325368
  NPD
• Sea-Mar Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Mount Vernon, WA
  • NPI 1225530520
  NPD (past)

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

{
    "created_epoch": "1228348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1972748952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4526 FEDERAL AVE BLDG 1",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982032132",
            "telephone_number": "425-349-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2203 OLD HIGHWAY 99 S RD",
            "city": "MT VERNON",
            "state": "WA",
            "postal_code": "98273",
            "telephone_number": "360-542-8810",
            "fax_number": "360-542-8811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMBERG",
        "first_name": "NELSON",
        "middle_name": "JOHN",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-04",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60136969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John G. Holden, D.C.
• Nathaniel E Holden
• Holland Health Services, Inc
• Holland Health Services, Inc.
• Chelsea N Holman, ARNP
• Marilyn Trudeau Holmes, ARNP
• Rochelle Christine Holmgren, LMP
• Home Care Enterprises, LLC
• Eugene Kee Hong, MD
• Hope and Thrive Counseling

• Mental Health Counselor in Mt Vernon, WA
• Providers in Mt Vernon, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; 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.