Irvin Leroy Holtzhouse, MA, TLLP

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

6301015082 Issued in MI

Practice address

651 N State St
Caro, MI 48723-1543

Phone

(989) 673-5700

Fax

(989) 672-2555

NPI assigned

Jun 4, 2012

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

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1338768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338768000000",
    "number": "1982965299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "443 N STATE ST",
            "city": "CARO",
            "state": "MI",
            "postal_code": "487231539",
            "telephone_number": "989-672-6160",
            "fax_number": "989-672-5649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 N STATE ST",
            "city": "CARO",
            "state": "MI",
            "postal_code": "487231543",
            "telephone_number": "989-673-5700",
            "fax_number": "989-672-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLTZHOUSE",
        "first_name": "IRVIN",
        "middle_name": "LEROY",
        "name_prefix": "Mr.",
        "credential": "MA, TLLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-04",
        "last_updated": "2012-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MI",
            "license": "6301015082",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "7509107840",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "7509109660",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "7509109640",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hills and Dales General Hospital
• Ann Renee Hoadley
• Chelsea Holdwick, LLMSW
• Jonathan Hollis, F-NP
• Steven Allen Holman, AGNP
• Nicole Horneber, OTRL
• Traci Horrisberger, LLPC
• Emily Hosmer, PT, DPT
• Hospitalmd of Caro Ip, Inc.
• Hospitalmd of Caro, Inc.

• Counseling Psychologist in Caro, MI
• Providers in Caro, MI by specialty
• Counseling Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2012; 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.