DR. JENELL L HOLSTEAD PH.D., NCSP
NPI 1801477377
Psychologist - School in Green Bay, WI

Active since April 16, 2021PECOS Enrolled
1050 CIRCLE DR STE B, GREEN BAY, WI 54304(920) 544-2780 Get Directions Write a Review

NPPES record last updated: April 16, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jenell L Holstead Ph.d., Ncsp NPPES

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

DR. JENELL L HOLSTEAD PH.D., NCSP (NPI 1801477377) is an individual school provider in Green Bay, Wisconsin and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801477377
Entity TypeIndividualFemale
Primary Taxonomy103TS0200X
Provider Legal NameDR. JENELL L HOLSTEADCredential: PH.D., NCSP
Location Address1050 CIRCLE DR STE BGreen Bay, WI 54304-5569
Mailing Address1615 Hidden Falls CtDe Pere, WI 54115-3389 · (920) 544-2780
Sole ProprietorYes
Enumeration DateApril 16, 2021
NPPES CertifiedApril 16, 2021
NPI 1801477377 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyPsychologist · SchoolBehavioral Health & Social Service Providers
Taxonomy Code103TS0200X
Definition
A psychologist whose specialty is concerned with the science and practice of psychology with children, youth, families; learners of all ages; and the schooling process. The basic education and training of school psychologists prepares them to provide a range of psychological diagnosis, assessment, intervention, prevention, health promotion, and program development and evaluation services with a special focus on the developmental processes of children and youth within the context of schools, families and other systems. School psychologists are prepared to intervene at the individual and system level, and develop, implement, and evaluate preventive programs. In these efforts, they conduct ecologically valid assessments and intervene to promote positive learning environments within which children and youth from diverse backgrounds to ensure that all have equal access to effective educational and psychological services that promote healthy development
Also ListedPsychologist · PsychoanalysisTaxonomy 103TP0814X
Also ListedPsychologist · Group PsychotherapyTaxonomy 103TP2701X
1050 CIRCLE DR STE B, Green Bay, WI 54304

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 (PECOS)

Dr. Jenell L Holstead Ph.d., Ncsp 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.

Other Providers at the Same Location NPPES 2

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

Counselor (Professional)
1050 CIRCLE DR STE B
GREEN BAY, WI 54304
Psychologist (School)
1050 CIRCLE DR STE B
GREEN BAY, WI 54304

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 Jenell Holstead's NPI number?

The NPI number for Jenell Holstead is 1801477377. It was assigned to this individual provider in the NPPES registry on April 16, 2021.

Where is Jenell Holstead located?

Jenell Holstead practices at 1050 Circle Dr Ste B, Green Bay, WI 54304. The listed phone number is (920) 544-2780.

What is Jenell Holstead's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in School, with taxonomy code 103TS0200X.

Is Jenell Holstead enrolled in Medicare?

Yes. Jenell Holstead is registered in the Medicare PECOS enrollment system.

What insurance does Jenell Holstead accept?

Health plans from Anthem Blue Cross and Blue Shield, Medica, Network Health and UnitedHealthcare list Jenell Holstead 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 Jenell Holstead was last updated on April 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.