John W Holt, LAC/LPCC in Fargo, ND - Medicare Counselor Provider

John W Holt, LAC/LPCC is a medicare enrolled "Counselor - Professional" provider in Fargo, North Dakota. His current practice location is 2624 9th Ave S, Fargo, North Dakota. You can reach out to his office (for appointments etc.) via phone at (701) 298-4500.

John W Holt is licensed to practice in North Dakota (license number 841-6-15-15-361) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1801019997.

Contact Information

	John W Holt, LAC/LPCC
	2624 9th Ave S, Fargo, ND 58103-2350
	(701) 298-4500
	(701) 298-4400

Map and Direction

Healthcare Provider's Profile

Full Name	John W Holt
Gender	Male
Speciality	Counselor - Professional
Location	2624 9th Ave S, Fargo, North Dakota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1801019997
Provider Enumeration Date: 04/10/2007
Last Update Date: 09/03/2020

Medicare PECOS Information:

PECOS PAC ID: 6002251741
Enrollment ID: I20240304002152

Medical Identifiers

Medical identifiers for John W Holt such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801019997	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	1678 (North Dakota)	Secondary
171M00000X	Case Manager/care Coordinator	(* (Not Available))	Secondary
101YP2500X	Counselor - Professional	841-6-15-15-361 (North Dakota)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. John W Holt allows following entities to bill medicare on his behalf.

Entity Name	Southeast Human Service Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932146941 PECOS PAC ID: 8527027556 Enrollment ID: O20041006000512

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. John W Holt is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
John W Holt, LAC/LPCC 2624 9th Ave S, Fargo, ND 58103-2350 Ph: (701) 298-4500	John W Holt, LAC/LPCC 2624 9th Ave S, Fargo, ND 58103-2350 Ph: (701) 298-4500

Reviews and Comments

Counselor in Fargo, ND

Rachel A Blumhardt, Counselor Medicare: Medicare Enrolled Practice Location: 2701 12th Ave S, Fargo, ND 58103 Phone: 701-451-4900 Fax: 651-925-0057
Sarah Klimek, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2311 45th St S Ste 4a, Fargo, ND 58104 Phone: 701-532-1477
Aleece Jung, LAPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3401 45th St S, Fargo, ND 58104 Phone: 701-356-4384 Fax: 701-356-4383
Mary Beth Stensgard, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3309 Fiechtner Dr S Ste H, Fargo, ND 58103 Phone: 701-261-6539
Kaitlin Doyle, LAPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2701 12th Ave S, Fargo, ND 58103 Phone: 701-451-4900 Fax: 651-925-0057
Lisa Ann Mastel, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1720 University Dr S, Fargo, ND 58103 Phone: 701-461-5308 Fax: 701-461-5649
Dale A Carrier, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2624 9th Ave S, Fargo, ND 58103 Phone: 701-298-4500 Fax: 701-298-4400

John W Holt, LAC/LPCC - Medicare Counselor in Fargo, ND