KYLE DAVID HOLST


Address: 321 W Onondaga St, Syracuse, NY 13202-3207
Phone: 3155692358

KYLE DAVID HOLST (NPI# 1760011829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1760011829
Entity Type Individual
Full Name KYLE DAVID HOLST
Credential CARC, CRPA, NYCPS
Practice Address 321 W Onondaga St
Syracuse
NY 13202-3207
Mailing Address 101 Dell St # 3
Syracuse
NY 13210-2101
Practice Telephone 3155692358
Mailing Telephone 3155692358
Enumeration Date 2020-04-02
Last Update Date 2020-04-02
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 175T00000X Peer Specialist Other Service Providers

Office Location

Street Address 321 W ONONDAGA ST
City SYRACUSE
State NY
Zip Code 13202-3207

Providers in the same location

NPI Name Taxonomy Address Enumeration
1174715114 Zsuzsa Szombathyne Meszaros Psychiatry & Neurology 321 W Onondaga St, Suite 201, Syracuse, NY 13202-3207 2007-08-14
1710593090 Sarah Rose Bennett Social Worker 321 W Onondaga St, Syracuse, NY 13202-3262 2020-09-22
1447865613 Jaclyn Abbott Counselor 321 W Onondaga St, Syracuse, NY 13202-3207 2020-09-14
1407461924 Jillian Colby Deland Social Worker 321 W Onondaga St, Syracuse, NY 13202-3207 2020-09-11
1114560182 Michelle Kluczinske Registered Nurse 321 W Onondaga St, Syracuse, NY 13202-3262 2019-10-23
1730736711 Nicole A Wenham Counselor 321 W Onondaga St, Syracuse, NY 13202-3207 2019-08-23
1871148486 Joshua David Salvage Student in an Organized Health Care Education/Training Program 321 W Onondaga St, Syracuse, NY 13202-3207 2019-08-09
1659923845 Alyssa Lynn Swierk Social Worker 321 W Onondaga St, Syracuse, NY 13202-3207 2019-07-09
1497314728 Jessica Kish Counselor 321 W Onondaga St, Syracuse, NY 13202-3262 2019-06-11
1063972529 Kathleen Wittwer Registered Nurse 321 W Onondaga St, Syracuse, NY 13202-3207 2019-03-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255804456 Lisa Blachford Registered Nurse 421 Montgomery St Room 80, Syracuse, NY 13202 2019-01-10
1851873640 Syracuse Community Health Center, Inc. Case Management 819 South Salina Street, Syracuse, NY 13202 2018-08-29
1245739713 Telibra Lloyd Counselor 375 W Onondaga St Suite 10, Syracuse, NY 13202 2018-02-09
1326574534 Wendell Covell Social Worker 50 Presidential Plaza, Jefferson Tower Suite Ll05, Syracuse, NY 13202 2017-05-08
1083165005 Candy Herbert Counselor 375 W. Onondaga St. Suite 10, Syracuse, NY 13202 2016-10-14
1427429760 Joshua Caryl Counselor 319 East Water Street, Syracuse, NY 13202 2015-10-13
1093140956 Jennifer B Mccaffrey Nurse Practitioner 421 Montgomery Street Room 80, Onondaga County Health Dept. Bureau of Disease Control, Syracuse, NY 13202 2013-09-11
1336581552 Emily Renee Haggerty Hospitalist 500 Harrison St, 1705a, Syracuse, NY 13202 2013-07-30
1134470933 Tanya Marie Harlec Mcguire Genetic Counselor, MS 90 Presdential Plaza Uhcc 3rd Fl., Regional Perinatal Center Suny Upstate Medical Ctr, Syracuse, NY 13202 2012-09-20
1104176320 Mary Jo Maestri Genetic Counselor, MS 90 Presidential Plaza Uhcc- Perinatal Ceter, University Hospital/upstate Medical Center, Syracuse, NY 13202 2012-09-14
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Taxonomy Information

Taxonomy Code 175T00000X
Grouping Other Service Providers
Classification Peer Specialist

Taxonomy Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Notes: Source: National Uniform Claim Committee [7/1/2014: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447767025 Reality Awareness Outreach Inc Peer Specialist 117 S Collingwood Ave, Syracuse, NY 13206 2018-01-04
1245849280 Louis Shirley Peer Specialist 1045 James St, Syracuse, NY 13203-2730 2020-07-27
1922563949 Michelle Lyla Vandee Peer Specialist 215 Wyoming St, Syracuse, NY 13204-2927 2019-02-04
1023573201 Lauren Gee Peer Specialist 215 Wyoming St, Syracuse, NY 13204-2927 2019-02-01
1225586886 Nathan Baird Peer Specialist 620 Madison St, Syracuse, NY 13210-2319 2016-09-13
1316495005 Paul Tucci Peer Specialist 620 Madison St, Syracuse, NY 13210-2319 2016-09-12
1447706130 Dennis Green Peer Specialist 620 Madison St, Syracuse, NY 13210-2319 2016-09-01
1952857781 Ruth Ciciriello Peer Specialist 620 Madison St, Syracuse, NY 13210-2319 2016-08-31
1992251730 Janette Chavan Peer Specialist 620 Madison St, Syracuse, NY 13210-2319 2016-08-31
1942755251 Kirsten Hubel Peer Specialist 620 Madison St, Syracuse, NY 13210-2319 2016-08-17
Find all providers in SYRACUSE

Competitor

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City SYRACUSE
Zip Code 13202

Improve Information

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Dataset Information

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.

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