AMY LYNN HOLDER (NPI# 1568732287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568732287 |
| Entity Type | Individual |
| Full Name | AMY LYNN HOLDER |
| Other Name | AMY LYNN DORN |
| Credential | LPC-IT, SAC-IT |
| Practice Address |
440 Science Drive Suite 300 Madison WI 53711 |
| Practice Telephone | 6082364460 |
| Practice Fax Number | 6082364461 |
| Mailing Telephone | 6082364460 |
| Mailing Fax Number | 6082364461 |
| Enumeration Date | 2012-01-11 |
| Last Update Date | 2020-04-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 7730-125 | WI | Behavioral Health & Social Service Providers |
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619373362 | Amy Holder | Nurse Practitioner | 3121 Cross Timbers Roa, Suite 200, Flower Mound, TX 75028 | 2014-11-07 |
| 1841316643 | Amy Holder | Physical Therapist | 13140-14 W 99th Street, Exchange Place # 1, Lenexa, KS 66215 | 2007-03-22 |
| 1679900740 | Amy Marie Holder | Nurse Practitioner | 400 S Kingshighway Blvd, Saint Louis, MO 63110-1014 | 2013-10-03 |
| 1972935831 | Amy D Holder | Speech-Language Pathologist | 6172 Airways Blvd, Suite 122, Chattanooga, TN 37421-2984 | 2013-08-02 |
| 1194890335 | Amy D Holder | Pediatrics | 7700 Floyd Curl Dr, San Antonio, TX 78229-3902 | 2006-11-22 |
| Street Address |
440 SCIENCE DRIVE SUITE 300 |
| City | MADISON |
| State | WI |
| Zip Code | 53711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487296307 | Exact Sciences Laboratories, LLC | Clinical Medical Laboratory | 650 Forward Drive, Madison, WI 53711 | 2019-10-11 |
| 1508417916 | Cassandra D Pasquariello | Psychologist | Department of Athletics, 1440 Monroe Street, Madison, WI 53711 | 2019-09-26 |
| 1972161628 | Leah Bastian | Marriage & Family Therapist | 2935 S Fish Hatchery Rd # 244, Madison, WI 53711 | 2019-05-29 |
| 1457810673 | Leah Smith | Specialist/Technologist | 1436 Monroe Street, Madison, WI 53711 | 2019-03-18 |
| 1669942249 | Patrick Soltvedt Bohn | Physician Assistant | 1034 Waban Hill, Madison, WI 53711 | 2018-11-27 |
| 1760975395 | Alysha Rolli | Dentist | 2945 Triverton Pike Dr, Fitchburg, WI 53711 | 2018-06-08 |
| 1265922561 | Farence Rogers | Student in an Organized Health Care Education/Training Program | 1475 Engineering Dr. Madison, Madison, WI 53711 | 2018-05-14 |
| 1588015358 | Kristen Siskovich | Speech-Language Pathologist | 2927 Fish Hatchery Rd., Fitchburg, WI 53711 | 2016-06-23 |
| 1598132383 | Shari Eberhardt | Nurse Practitioner | Journey Mental Health Center, 25 Kessel Ct, Madison, WI 53711 | 2015-08-27 |
| 1649646506 | Oak Park Place of Nakoma, LLC | Skilled Nursing Facility | 4327 Nakoma Road, Madison, WI 53711 | 2015-08-14 |
| Find all providers in zip 53711 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| 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. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700411048 | Kathleen M Allcox | Counselor | 4202 Monona Dr, Madison, WI 53716-1664 | 2020-03-06 |
| 1487299277 | Hanging Lanes Christian Wellness Ministries and Counseling Center | Counselor | 650 Sun Temple Drive, Madison, AL 35758 | 2019-11-15 |
| 1013563717 | Cynthia A Perry | Counselor | 104 Brickstone Pl, Madison, AL 35756-3498 | 2019-08-18 |
| 1285289587 | Clifton Leo Davis Jr. | Counselor | 6417 O Dana Rd #5, Madison, WI 53719 | 2019-08-05 |
| 1912562687 | Dedicated Solutions, LLC. | Counselor | 8006 Old Madison Pike Ste 20o, Madison, AL 35758-1490 | 2019-05-07 |
| 1063997955 | Tarea Stout | Counselor | 213 Paxton Cv, Madison, MS 39110-8900 | 2018-09-26 |
| 1700374410 | Susan Banks-norton | Counselor | 461 Capshaw Rd Nw Ste F, Madison, AL 35757-7940 | 2018-04-27 |
| 1720586761 | Anesis Center for Marriage and Family Therapy | Counselor | 6409 Odana Rd Ste 14, Madison, WI 53719-1177 | 2018-01-24 |
| 1124545199 | Synergos Counseling LLC | Counselor | 5250 E Terrace Dr, Madison, WI 53718-8345 | 2017-08-29 |
| 1194271106 | Lea Angela Pearrow | Counselor | 1321 Cheyenne Blvd, Madison, TN 37115-5523 | 2016-08-30 |
| Find all providers in MADISON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.