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

Active since April 10, 2007PECOS EnrolledAccepts Medicare Assignment
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: July 19, 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 and is a graduate of Other (2012).

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
Fax(701) 298-4400
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
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

Accepted 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

John W Holt Lac/lpcc 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 ID6002251741
PECOS Enrollment IDI20240304002152
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.

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.

Social Worker (Clinical)
2624 9TH AVE S
FARGO, ND 58103
Psychiatry & Neurology (Psychiatry)
2624 9TH AVE S
FARGO, ND 58103
Counselor
2624 9TH AVE S
FARGO, ND 58103
Counselor
2624 9TH AVE S
FARGO, ND 58103
Psychologist
2624 9TH AVE S
FARGO, ND 58103
Counselor (Addiction (Substance Use Disorder))
2624 9TH AVE S
FARGO, ND 58103
Counselor (Addiction (Substance Use Disorder))
2624 9TH AVE S
FARGO, ND 58103
Counselor (Addiction (Substance Use Disorder))
2624 9TH AVE S
FARGO, ND 58103

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1801019997, enumerated as an "individual" on April 10, 2007.

The provider is located at 2624 9TH AVE S FARGO, ND 58103 and the phone number is (701) 298-4500.

Counselor with taxonomy code 101YP2500X and a focus in Professional.

The provider might be accepting Accepts: Blue Cross Blue Shield of North Dakota and Sanford. Please consult your insurance carrier or call the provider to verify.