Individual Healthcare Provider
Jordan Nichole Holtby, M.ED., ATR, LPC
Provider's NPPES record last updated: July 2, 2024
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1710304662
- Primary Specialty
- Counselor — Mental Health
- Practice Location
- Waynesville, Missouri
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 20, 2026, 1:45 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Counselor
Mental Health
Behavioral Health & Social Service Providers
Definition to come...
Taxonomy code 101YM0800X Case Manager/Care Coordinator
Other Service Providers
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
Taxonomy code 171M00000XArt Therapist
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
(1) An individual who uses art to achieve the therapeutic goals of symptom relief, emotional integration, and recovery from or adjustment to illness or disability. (2) An art therapist uses a form of treatment that enables patients with mental or physical disabilities to use art as a way of expressing and dealing with feelings and inner conflicts. (3) An individual who uses arts modalities and creative processes during intentional intervention in therapeutic, rehabilitative, community, or educational settings to foster health, communication, and expression; promote the integration of physical, emotional, cognitive, and social functioning; enhance self-awareness; and facilitate change.
Taxonomy code 221700000X
Provider-Reported License Information
- Counselor (Missouri)
- 2022035130
Practice Locations
Practice Location
23415 Rosedale Rd
Waynesville, Missouri 65583-2752
Phone: (870) 688-6185
Additional Practice Location
1820 Memorial Cir
Clarksville, Tennessee 37043-4539
Phone: (870) 688-6185
Additional Practice Location
12193 Nixon Rd
Harrison, Arkansas 72601-6980
Phone: (870) 688-6185
Record Information
- Enumeration Date
- March 27, 2014
- Provider's NPPES Record Last Updated
- July 2, 2024
- Certification Date
- July 2, 2024
- Deactivation Date
- April 8, 2019
- Reactivation Date
- April 24, 2019
- NPISignal NPPES Dataset
- August 2026
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