MR. JERRY LEE HOLT LPC, LPCC LADC
NPI 1437450616
Counselor - Mental Health in Plymouth, MN

Active since November 04, 2010
13895 INDUSTRIAL PARK BLVD, PLYMOUTH, MN 55441(763) 300-6707(763) 559-2116 Get Directions Write a Review

NPPES record last updated: July 10, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Jerry Lee Holt Lpc, Lpcc Ladc NPPES

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

MR. JERRY LEE HOLT LPC, LPCC LADC (NPI 1437450616) is an individual mental health provider in Plymouth, Minnesota, licensed in Minnesota (00416) and active in the NPI registry since November 2010.

NPPES Registry Identity

NPI1437450616
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. JERRY LEE HOLTCredential: LPC, LPCC LADC
Location Address13895 INDUSTRIAL PARK BLVDPlymouth, MN 55441-3700
Mailing Address13895 Industrial Park BlvdPlymouth, MN 55441-3700 · (763) 300-6707 · Fax (763) 559-2116
Fax(763) 559-2116
Sole ProprietorYes
Enumeration DateNovember 4, 2010
Last NPPES UpdateJuly 10, 2012
NPI 1437450616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses Licensed in MN · 00416 Licensed in MN · LPC00797
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 302560 (MN)
13895 INDUSTRIAL PARK BLVD, Plymouth, MN 55441

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Addiction (Substance Use Disorder))
13895 INDUSTRIAL PARK BLVD
PLYMOUTH, MN 55441
Counselor (Addiction (Substance Use Disorder))
13895 INDUSTRIAL PARK BLVD
PLYMOUTH, MN 55441
Counselor (Addiction (Substance Use Disorder))
13895 INDUSTRIAL PARK BLVD
PLYMOUTH, MN 55441
Counselor (Mental Health)
13895 INDUSTRIAL PARK BLVD
PLYMOUTH, MN 55441

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 Jerry Holt's NPI number?

The NPI number for Jerry Holt is 1437450616. It was assigned to this individual provider in the NPPES registry on November 4, 2010.

Where is Jerry Holt located?

Jerry Holt practices at 13895 Industrial Park Blvd, Plymouth, MN 55441. The listed phone number is (763) 300-6707.

What is Jerry Holt's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Jerry Holt was last updated on July 10, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.