DR. JESSICA BOLTON HOLT LPC
NPI 1457669079
Counselor - Professional in Cartersville, GA
About Dr. Jessica Bolton Holt Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JESSICA BOLTON HOLT LPC (NPI 1457669079) is an individual professional provider in Cartersville, Georgia, licensed in Georgia (LPC008249) and active in the NPI registry since September 2010. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Jessica Bolton Holt Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jessica Holt reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Atlanta, GA 30305
- Reassigned Medicare billing, Georgia enrollment
- 1,389 clinicians in this Medicare group
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 Jessica Holt's NPI number?
The NPI number for Jessica Holt is 1457669079. It was assigned to this individual provider in the NPPES registry on September 16, 2010. The provider is also known as Dr. Jessica Bailey Lpc.
Where is Jessica Holt located?
Jessica Holt practices at 160 Andria Way NW, Cartersville, GA 30120. The listed phone number is (470) 272-5116.
What is Jessica Holt's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Jessica Holt enrolled in Medicare?
Yes. Jessica Holt is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jessica Holt's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Holt reassigns Medicare benefits to The Southeast Permanente Medical Group (Atlanta, GA). 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 Jessica Holt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jessica Holt was last updated on July 21, 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.
# Dr. Jessica Bolton Holt, LPC · NPI 1457669079
Professional provider in Cartersville, Georgia. Individual provider, active in the CMS NPPES registry since September 16, 2010.
## Identity
- **NPI:** 1457669079 (Entity type: Individual)
- **Enumerated:** September 16, 2010
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** LPC008249 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 160 ANDRIA WAY NW, Cartersville, GA 30120-2252
- **Phone:** (470) 272-5116
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** The Southeast Permanente Medical Group (NPI 1245266956, Atlanta, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 21, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1457669079) · Data from the CMS NPPES public registry.