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HOLON HEALTH GREAT LAKES, P.C.
NPI 1295525608
Peer Specialist in Flagstaff, AZ

Active since May 08, 2025CLIA 49D2323411 · Waiver
2314 N 4TH ST STE C, FLAGSTAFF, AZ 86004(877) 465-6650(804) 294-2775 Get Directions Write a Review

NPPES record last updated: May 8, 2025. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Holon Health Great Lakes, P.c. NPPES

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

HOLON HEALTH GREAT LAKES, P.C. (NPI 1295525608), doing business as Holon Health, is a healthcare organization registered as a peer specialist in Flagstaff, Arizona and active in the NPI registry since May 2025. The organization holds a CLIA Waiver certificate valid through May 6, 2027 and lists Jason Herzog, Ceo, as its authorized official.

NPPES Registry Identity

NPI1295525608
Entity TypeOrganization
Primary Taxonomy175T00000X
Legal Business NameHOLON HEALTH GREAT LAKES, P.C.
Location Address2314 N 4TH ST STE CFlagstaff, AZ 86004-3709
Mailing Address3540 Pump Rd # 1188Richmond, VA 23233-1115 · (804) 955-5246 · Fax (804) 294-2775
Phone(877) 465-6650
Fax(804) 294-2775
Organization SubpartNo
Authorized OfficialJason HerzogCeo · (804) 955-5246
Enumeration DateMay 8, 2025
NPPES CertifiedMay 8, 2025
✔ NPI 1295525608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
2314 N 4TH ST STE C, Flagstaff, AZ 86004
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Other Names 1

Doing Business AsHolon Health

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D2323411

Holon Health Great Lakes, PC · Glen Allen, VA
Active · expires May 6, 2027
CLIA Number49D2323411
Laboratory TypePhysician Office
Certificate Effective DateMay 7, 2025
Certificate Expiration DateMay 6, 2027
Laboratory DirectorTraci Sweet
Laboratory Phone(804) 955-5246
Laboratory LocationHolon Health Great Lakes, PC11551 Nuckols Road, Ste R, Glen Allen, VA 23059
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Holon Health Great Lakes, P.C.'s NPI number?

The NPI number for Holon Health Great Lakes, P.C. is 1295525608. It was assigned to this organization in the NPPES registry on May 8, 2025. The provider is doing business as Holon Health.

Where is Holon Health Great Lakes, P.C. located?

Holon Health Great Lakes, P.C. is located at 2314 N 4th St Ste C, Flagstaff, AZ 86004. The listed phone number is (877) 465-6650.

What is Holon Health Great Lakes, P.C.'s specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

Does Holon Health Great Lakes, P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2323411) is associated with this NPI, valid through May 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Holon Health Great Lakes, P.C. was last updated on May 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.