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MR. RONALD R HOLDER PSY.D., LPC-S
NPI 1265748529
Counselor in Kenosha, WI

Active since August 25, 2010PECOS Enrolled
4050 33RD AVENUE, KENOSHA, WI 53144(210) 643-7064 Get Directions Write a Review

NPPES record last updated: August 14, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 14, 2024, Jul 21, 2022, Aug 24, 2017 (3 updates tracked since 2017).

About Mr. Ronald R Holder Psy.d., Lpc-s NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. RONALD R HOLDER PSY.D., LPC-S (NPI 1265748529) is an individual counselor in Kenosha, Wisconsin, licensed in Texas (64712) and active in the NPI registry since August 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265748529
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameMR. RONALD R HOLDERCredential: PSY.D., LPC-S
Location Address4050 33RD AVENUEKenosha, WI 53144
Mailing Address901 Ne Loop 410, Suite 901San Antonio, TX 78209 · (210) 643-7064 · Fax (210) 434-1380
Phone(210) 643-7064
Sole ProprietorYes
Enumeration DateAugust 25, 2010
Last NPPES UpdateAugust 14, 20243 updates tracked since enumeration
NPPES CertifiedAugust 10, 2024
✔ NPI 1265748529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in TX · 64712
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 64712 (TX)
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 10822125 (WI), 64712 (TX)
4050 33RD AVENUE, Kenosha, WI 53144
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Cigna Healthcare, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Ronald R Holder Psy.d., Lpc-s is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Ronald Holder reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Texas Health Virtual Care
828 mi
Internal Medicine
8200 WALNUT HILL LN FL 4
Dallas, TX 75231
  • Reassigned Medicare billing, Texas enrollment
  • 284 clinicians in this Medicare group
NPI 1942951199 (214) 345-8001

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ronald Holder's NPI number?

The NPI number for Ronald Holder is 1265748529. It was assigned to this individual provider in the NPPES registry on August 25, 2010.

Where is Ronald Holder located?

Ronald Holder practices at 4050 33rd Avenue, Kenosha, WI 53144. The listed phone number is (210) 643-7064.

What is Ronald Holder's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Ronald Holder enrolled in Medicare?

Yes. Ronald Holder is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ronald Holder's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ronald Holder reassigns Medicare benefits to Texas Health Virtual Care (Dallas, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ronald Holder's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ronald Holder accept?

Health plans from Blue Cross and Blue Shield of Texas, Cigna Healthcare and UnitedHealthcare list Ronald Holder as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ronald Holder was last updated on August 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.