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DIANA HOLTON
NPI 1659764348
Social Worker - Clinical in Troy, PA

Active since March 05, 2015PECOS Enrolled

NPPES record last updated: February 10, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 10, 2025, Sep 24, 2024, Jan 16, 2023 (3 updates tracked since 2023).

About Diana Holton NPPES

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

DIANA HOLTON (NPI 1659764348) is an individual clinical provider in Troy, Pennsylvania, licensed in Pennsylvania (CW025051) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Apalachin.

NPPES Registry Identity

NPI1659764348
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameDIANA HOLTON
Location Address122 ELMIRA STTroy, PA 16947-1202
Mailing Address3237 Mountain Ridge RdMainesburg, PA 16932-9517 · (705) 120-1645
Phone(570) 529-6060
Sole ProprietorNo
Enumeration DateMarch 5, 2015
Last NPPES UpdateFebruary 10, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 10, 2025
✔ NPI 1659764348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in PA · CW025051✔ Licensed in NY · 097774-01
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedSocial WorkerTaxonomy 104100000X · License I.2405699 (OH)
122 ELMIRA ST, Troy, PA 16947
Open in Google Maps ↗

Secondary Practice Location 1

Location 16070 State Route 434Apalachin, NY 13732-2446 · Phone (845) 926-8640

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Diana Holton 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 Reassignments

2

Medicare enrollment records show Diana Holton reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Queens Psychotherapy Lcsw Services P.C.
169 mi
Clinical
9520 63RD RD, SUITE J
Rego Park, NY 11374
  • Reassigned Medicare billing, New York enrollment
  • 32 clinicians in this Medicare group
NPI 1366806705 (718) 459-1225
Grow Healthcare Group PA
1,121 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, New York enrollment
  • 867 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16947 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 $54.64 – $166.87
Typical copayment $0.00 (range $13.66 – $41.71)
Most-billed visit code NA
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

Other Providers at the Same Location NPPES

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

MRS. CHERYL LYNN LAROCHE LPC
Counselor (Mental Health)
122 ELMIRA ST
TROY, PA 16947
Bradford County (570) 529-6060

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 Diana Holton's NPI number?

The NPI number for Diana Holton is 1659764348. It was assigned to this individual provider in the NPPES registry on March 5, 2015.

Where is Diana Holton located?

Diana Holton practices at 122 Elmira St, Troy, PA 16947. The listed phone number is (570) 529-6060.

What is Diana Holton's specialty?

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

Is Diana Holton enrolled in Medicare?

Yes. Diana Holton is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Diana Holton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Diana Holton reassigns Medicare benefits to 2 organizations: Queens Psychotherapy Lcsw Services P.C. (Rego Park, NY) and Grow Healthcare Group PA (Miami, FL). Each 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 Diana Holton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Diana Holton accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan and UnitedHealthcare list Diana Holton 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 Diana Holton was last updated on February 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.