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JOHN W HOLT LAC/LPCC
NPI 1801019997
Counselor - Professional in Fargo, ND

Active since April 10, 2007PECOS Enrolled
2624 9TH AVE S, FARGO, ND 58103(701) 298-4500(701) 298-4400 Get Directions Write a Review

NPPES record last updated: September 3, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About John W Holt Lac/lpcc NPPES

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

JOHN W HOLT LAC/LPCC (NPI 1801019997) is an individual professional provider in Fargo, North Dakota, licensed in North Dakota (841-6-15-15-361) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801019997
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameJOHN W HOLTCredential: LAC/LPCC
Location Address2624 9TH AVE SFargo, ND 58103-2350
Mailing Address2624 9th Ave SFargo, ND 58103-2350 · (701) 298-4500 · Fax (701) 298-4400
Phone(701) 298-4500
Fax(701) 298-4400
Sole ProprietorNo
Enumeration DateApril 10, 2007
Last NPPES UpdateSeptember 3, 2020
NPPES CertifiedSeptember 3, 2020
✔ NPI 1801019997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in ND · 841-6-15-15-361
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 1678 (ND)
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
2624 9TH AVE S, Fargo, ND 58103
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John W Holt Lac/lpcc 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 Reassignment

Medicare enrollment records show John Holt reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southeast Behavioral Health Clinic
Same address
Rehabilitation, Substance Use Disorder
2624 9TH AVE S
Fargo, ND 58103
  • Reassigned Medicare billing, North Dakota enrollment
  • Medicare enrollment name: Southeast Human Service Center
  • 91 clinicians in this Medicare group
NPI 1932146941 (701) 298-4500

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

Other Providers at the Same Location NPPES 20

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

JENNY WEST
Specialist
2624 9TH AVE S
FARGO, ND 58103
Cass County (701) 298-4500
SHAYLA ZASTE TCM
Case Manager/Care Coordinator
2624 9TH AVE S
FARGO, ND 58103
Cass County (701) 595-4861
DETON HART
Counselor (Professional)
2624 9TH AVE S
FARGO, ND 58103
Cass County (701) 298-4500
VALENTINA B ASIEDU MPH, CHES
Case Manager/Care Coordinator
2624 9TH AVE S
FARGO, ND 58103
Cass County (701) 298-4959
MS. SARA L NICOLI M.ED, LAC
Counselor (Addiction (Substance Use Disorder))
2624 9TH AVE S
FARGO, ND 58103
Cass County (701) 298-4500
DALE A CARRIER LPCC
Counselor
2624 9TH AVE S
FARGO, ND 58103
Cass County (701) 298-4500
JENNIFER LEONE MULLEN LSW
Social Worker
2624 9TH AVE S
FARGO, ND 58103
Cass County (701) 298-4500
TRACY DIEDRICH
Case Manager/Care Coordinator
2624 9TH AVE S
FARGO, ND 58103
Cass County (701) 298-4500

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 John Holt's NPI number?

The NPI number for John Holt is 1801019997. It was assigned to this individual provider in the NPPES registry on April 10, 2007.

Where is John Holt located?

John Holt practices at 2624 9th Ave S, Fargo, ND 58103. The listed phone number is (701) 298-4500.

What is John Holt's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is John Holt enrolled in Medicare?

Yes. John Holt is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for John Holt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Holt reassigns Medicare benefits to Southeast Behavioral Health Clinic (Fargo, ND). 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 John Holt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Holt accept?

Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list John 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 John Holt was last updated on September 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.