Dr. Jessie Harold Edward Holton, Ed.D.
Counselor, Addiction (Substance Use Disorder) in Bozeman, MT. Individual provider (NPI-1).
NPI number1497480784
StatusActive
Last updated in NPPESJul 20, 2022
Details
- NPI
- 1497480784
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jessie Harold Edward Holton
- Credential
- Ed.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 20, 2022
- Certification date
- Jul 20, 2022
- Last updated
- Jul 20, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | BBH-ACLC-LIC-56946 | MT | Yes |
Practice location
2216 Boot Hill Ct Ste 3Bozeman, MT 59715-7215
Phone 406-600-5007
Mailing address
36 E Fork RdBig Timber, MT 59011-7805
Phone 321-289-0068
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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