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JACK EDWARD HOLT LCSW
NPI 1619758802
Social Worker - Clinical in Livingston, MT

Active since October 12, 2023PECOS EnrolledAccepts Medicare Assignment
103 1/2 S MAIN ST STE 10, LIVINGSTON, MT 59047(406) 223-2725 Get Directions Write a Review

NPPES record last updated: October 12, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Jack Edward Holt Lcsw NPPES

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

JACK EDWARD HOLT LCSW (NPI 1619758802) is an individual clinical provider in Livingston, Montana, licensed in Montana (BBH-LCSW-LIC-64868) and active in the NPI registry since October 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1619758802
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameJACK EDWARD HOLTCredential: LCSW
Location Address103 1/2 S MAIN ST STE 10Livingston, MT 59047-2693
Mailing Address103 1/2 S Main St Ste 10Livingston, MT 59047-2693 · (406) 223-2725
Phone(406) 223-2725
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 12, 2023
NPPES CertifiedOctober 12, 2023
✔ NPI 1619758802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MT · BBH-LCSW-LIC-64868
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
103 1/2 S MAIN ST STE 10, Livingston, MT 59047
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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 Montana.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jack Edward Holt Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5698215135
PECOS Enrollment IDI20240910004877
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 59047 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $56.81 – $172.26
Typical copayment $0.00 (range $14.20 – $43.06)
Most-billed visit code NA
Established Patient
$70.82 typical visit price
range $18.24 – $140.32
Typical copayment $17.70 (range $4.56 – $35.08)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Jack Holt's NPI number?

The NPI number for Jack Holt is 1619758802. It was assigned to this individual provider in the NPPES registry on October 12, 2023.

Where is Jack Holt located?

Jack Holt practices at 103 1/2 S Main St Ste 10, Livingston, MT 59047. The listed phone number is (406) 223-2725.

What is Jack Holt's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Jack Holt enrolled in Medicare?

Yes. Jack Holt is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jack Holt accept?

Health plans from Blue Cross and Blue Shield of Montana list Jack Holt 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 Jack Holt was last updated on October 12, 2023. 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.