MR. TIM DAVID HOLTZMAN LPCC # 5452
NPI 1760707178
Counselor in Berkeley, CA
NPI Status: Active since March 30, 2010
Contact Information
1918 BONITA AVE STE 200
BERKELEY, CA
ZIP 94704
Phone: (510) 761-9818
- Individual
- Male
- Counselor
- Opted-Out Medicare
About TIM HOLTZMAN
This page provides the complete NPI Profile along with additional information for Tim Holtzman, a provider established in Berkeley, California with a medical specialization in Counselor. The healthcare provider is registered in the NPI registry with number 1760707178 assigned on March 2010. The practitioner's primary taxonomy code is 101Y00000X with license number LPCC5452 (CA). The provider is registered as an individual and his NPI record was last updated July 2025.
- NPI
- 1760707178
- Provider Name
- MR. TIM DAVID HOLTZMAN LPCC # 5452
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1918 BONITA AVE STE 200 BERKELEY, CA 94704
- Location Phone
- (510) 761-9818
- Mailing Address
- 1918 BONITA AVE STE 200 BERKELEY, CA 94704
- Mailing Phone
- (510) 761-9818
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 03-30-2010
- Last Update Date
- 07-09-2025
- Code Navigator
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Tim Holtzman opted out of Medicare effective on 08-21-2024 until 08-21-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor
- Taxonomy Code
- 101Y00000X
- Type
- Behavioral Health & Social Service Providers
- License No.
- LPCC5452
- License State
- CA
- Taxonomy Description
- 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.
Medicare Participation & PECOS Enrollment Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 08-21-2024
Opt-Out End Date: 08-21-2026
Eligible to Order and Refer? No
Reviews for MR. TIM DAVID HOLTZMAN LPCC # 5452
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 6 | 0 | 7 | 0 | 7 | 1 | 7 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 12 | 0 | 14 | 0 | 14 | 1 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 2 + 0 + 1 + 4 + 0 + 1 + 4 + 1 + 1 + 4 + 24 = 52 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 52 = 8 | 8 | ||||||||
The NPI number 1760707178 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 15 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1184662603 | MS. HEATHER MCLAREN ROSELAREN LCSW/MPH Individual | Social Worker (Clinical) | 1918 BONITA AVE STE 200 BERKELEY, CA 94704 (510) 527-1217 |
| 1780351171 | MS. TESSA NICOLE SINCLAIR LMFT Individual | Counselor (Mental Health) | 1918 BONITA AVE STE 200 BERKELEY, CA 94704 (530) 918-8368 |
| 1356599831 | ALEXANDRA JOY SIDEROFF LMFT, LMHC Individual | Marriage & Family Therapist | 1918 BONITA AVE STE 200 BERKELEY, CA 94704 (415) 944-7685 |
| 1134872971 | PSYCHOSOCIAL THERAPY LICENSED MARRIAGE AND FAMILY THERAPISTS INC. Organization | Marriage & Family Therapist | 1918 BONITA AVE STE 200 BERKELEY, CA 94704 (510) 288-6336 |
| 1225285034 | DR. SHANDI JOYCELYN FULLER MD Individual | Pediatrics | 1918 BONITA AVE STE 200 BERKELEY, CA 94704 (510) 939-1300 |
| 1487198651 | JESSICA V GOODMAN Individual | Social Worker (Clinical) | 1918 BONITA AVE STE 200 BERKELEY, CA 94704 (707) 435-3764 |
| 1871970335 | TRAVIS LEE RIOS MA Individual | Marriage & Family Therapist | 1918 BONITA AVE STE 200 BERKELEY, CA 94704 (510) 854-0922 |
| 1952959504 | CATHERINE BAE Individual | Marriage & Family Therapist | 1918 BONITA AVE STE 200 BERKELEY, CA 94704 (510) 646-0590 |
| 1487366506 | KANAYO AGBODIKE PHD Individual | Psychoanalyst | 1918 BONITA AVE STE 200 BERKELEY, CA 94704 (510) 471-3849 |
| 1578770996 | NISHA JEAN FERNANDES-SESHADRI PSYD Individual | Psychologist (Clinical) | 1918 BONITA AVE STE 200 BERKELEY, CA 94704 (415) 890-6888 |
| 1679822910 | MS. JESSICA LEE OSMOND LCSW Individual | Social Worker (Clinical) | 1918 BONITA AVE STE 200 BERKELEY, CA 94704 (510) 982-1408 |
| 1225373863 | MRS. KARA C RUBENS Individual | Counselor (Mental Health) | 1918 BONITA AVE STE 200 BERKELEY, CA 94704 (415) 669-4779 |
| 1376848705 | RACHEL CROTHERS M.D. Individual | Psychiatry & Neurology (Psychiatry) | 1918 BONITA AVE STE 200 BERKELEY, CA 94704 (510) 473-6855 |
| 1619115136 | ERIC P LETOURNEAU LMFT Individual | Marriage & Family Therapist | 1918 BONITA AVE STE 200 BERKELEY, CA 94704 (415) 820-3224 |
| 1679398937 | EWA MARIS Individual | Marriage & Family Therapist | 1918 BONITA AVE STE 200 BERKELEY, CA 94704 (510) 239-3197 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1760707178, enumerated in the NPI registry as an "individual" on March 30, 2010
The provider is located at 1918 Bonita Ave Ste 200 Berkeley, Ca 94704 and the phone number is (510) 761-9818
The provider's speciality is Counselor with taxonomy code 101Y00000X
No, the provider signed an affidavit on August 21, 2024 to opt-out of the Medicare program. The provider is excluded from the Medicare program until August 21, 2026.
This NPI record was last updated on March 30, 2010. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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