Organization Active NPI

Holt Therapy PLLC

  • Community/Behavioral Health Agency
  • University Place, WA
National Provider Identifier
1992382303
Registry record updated May 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
HOLT THERAPY PLLC
Practice address
3318 Bridgeport Way W Ste D1
University Place, WA 98466-4598
Phone
(253) 988-9024
NPI assigned
Mar 24, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2021

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

Authorized official

Name
Steffanee Holt, LICSWNPI 1568974269
Title
Owner/Licsw
Phone
(253) 988-9024

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

3318 Bridgeport Way W Ste D1
University Place, WA 98466-4598

Mailing address

3318 Bridgeport Way W Ste D1
University Place, WA 98466-4598
Phone (253) 988-9024

Other identifiers 1

IdentifierTypeStateIssuer
1568974269MedicaidWA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1616544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620691200000",
    "number": "1992382303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3318 BRIDGEPORT WAY W STE D1",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984664598",
            "telephone_number": "253-988-9024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3318 BRIDGEPORT WAY W STE D1",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984664598",
            "telephone_number": "253-988-9024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLT THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-24",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A",
        "authorized_official_last_name": "HOLT",
        "authorized_official_first_name": "STEFFANEE",
        "authorized_official_title_or_position": "OWNER/LICSW",
        "authorized_official_telephone_number": "253-988-9024",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1568974269",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in University Place, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2021; 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.