Individual provider Active NPI

Crystal Brianne Holes, PLMHP

  • Mental Health Counselor
  • North Platte, NE
National Provider Identifier
1982386934
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
13467 Issued in NE
Practice address
120 E 12TH St
North Platte, NE 69101-2365
Phone
(308) 532-0587
Fax
(308) 532-0653
NPI assigned
Aug 1, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 13467 NE Primary

Addresses

Primary practice location

120 E 12TH St
North Platte, NE 69101-2365

Mailing address

7929 W Center Rd
Omaha, NE 68124-3104
Phone (877) 518-1070

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260313000825 NE Practitioner - Mental Health Counselor 7618450073 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10125 Polo Park Cir
Waco, TX 76712-8348

7929 W Ctr Rd
Omaha, NE 68124-3104

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13467NEMDMental Health Counselor
6422NEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lutheran Family Services of NE, Inc Mental Health CurrentSince Feb 2, 2026 Accepting new patients

Locations

120 E 12th St
North Platte, NE 69101
Phone (308) 532-0587

7929 W Center Rd
Omaha, NE 68124
Phone (402) 342-7007

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.

NPI Registry JSON

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

{
    "created_epoch": "1690848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1982386934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7929 W CENTER RD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681243104",
            "telephone_number": "877-518-1070",
            "fax_number": "402-591-5075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E 12TH ST",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691012365",
            "telephone_number": "308-532-0587",
            "fax_number": "308-532-0653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLES",
        "first_name": "CRYSTAL",
        "middle_name": "BRIANNE",
        "credential": "PLMHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-01",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "13467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Platte, NE

Sources for this page

Verify at the official NPI Registry.