MR. TIM DAVID HOLTZMAN LPCC # 5452
NPI 1760707178
Counselor in Berkeley, CA

Q: What is Tim Holtzman's NPI number?

The NPI number for Tim Holtzman is 1760707178. It was assigned to this individual provider in the NPPES registry on March 30, 2010.

Q: What is Tim Holtzman's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: Is Tim Holtzman enrolled in Medicare?

No. Tim Holtzman has opted out of Medicare through August 21, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Tim Holtzman was last updated on July 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since March 30, 2010Opted out of Medicare · through Aug 21, 2026

1918 BONITA AVE STE 200, BERKELEY, CA 94704(510) 761-9818 Get Directions Write a Review

NPPES record last updated: July 9, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 9, 2025, Aug 23, 2018 (2 updates tracked since 2018).

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About Mr. Tim David Holtzman Lpcc # 5452 NPPES

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

MR. TIM DAVID HOLTZMAN LPCC # 5452 (NPI 1760707178) is an individual counselor in Berkeley, California, licensed in California (LPCC5452) and active in the NPI registry since March 2010. He has opted out of Medicare through August 21, 2026.

NPPES Registry Identity

NPI1760707178

Entity TypeIndividualMale

Primary Taxonomy101Y00000X

Provider Legal NameMR. TIM DAVID HOLTZMANCredential: LPCC # 5452

Location Address1918 BONITA AVE STE 200Berkeley, CA 94704-1014

Mailing Address1918 Bonita Ave Ste 200Berkeley, CA 94704-1014 · (510) 761-9818

Phone(510) 761-9818

Sole ProprietorYes

Enumeration DateMarch 30, 2010

Last NPPES UpdateJuly 9, 20252 updates tracked since enumeration

NPPES CertifiedJuly 9, 2025

✔ NPI 1760707178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in CA · LPCC5452

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

1918 BONITA AVE STE 200, Berkeley, CA 94704

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mr. Tim David Holtzman Lpcc # 5452 has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 21, 2024 through August 21, 2026.

Opt-Out Effective DateAugust 21, 2024

Opt-Out In Effect ThroughAugust 21, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 16

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

PSYCHOSOCIAL THERAPY LICENSED MARRIAGE AND FAMILY THERAPISTS INC.

Marriage & Family Therapist