MR. RONALD R HOLDER (PSY.D., LPC-S) – Counselor, NPI 1265748529

MR. RONALD R HOLDER (PSY.D., LPC-S) is a healthcare provider. based in San antonio, Texas. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials PSY.D., LPC-S. They hold a License No. 64712 (TX). The NPI Number for MR. RONALD R HOLDER (PSY.D., LPC-S) is 1265748529

Main info

Male
Sole Proprietor
18 Years Of Experience
Accepts Medicare Assignment
Name
MR. RONALD R HOLDER (PSY.D., LPC-S)
NPI
1265748529
Phone
(210) 643-7064
Address
901 NE LOOP 410
Enumeration Date
25 August 2010
Last Update Date
14 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2144328322
Graduation Year
2008 (18 years ago)
PAC ID
1052764388
Group Practice PAC ID
5991176356
Professional Enrollment ID
I20240201004649
Address ID
TX760635842MA240XXRDXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:15State licenses:2Digital endpointsOther names

3,950 MENTAL HEALTH COUNSELOR in TX

Provider Addresses for MR. RONALD R HOLDER (PSY.D., LPC-S)

  • 901 NE LOOP 410

    SAN ANTONIO, TX 78209

    Phone: (210) 643-7064

    Fax: (210) 434-1380

    Type: Location

  • 4050 33RD AVENUE

    KENOSHA, WI 53144

    Phone: (210) 643-7064

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-02-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240201004649IMental Health CounselorTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 78209)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5991176356View full group profile
NameSpecialtyState
Clinical Social WorkerLA
Clinical Social WorkerCT
Clinical Social WorkerMS
Nurse PractitionerRI
Clinical Social WorkerGA
Clinical Social WorkerTX
Nurse PractitionerTX
Clinical Social WorkerLA
Mental Health CounselorTX
P S Y C H I A T R YTX

Reviews

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Frequently asked questions

How do payers reference MR. RONALD R HOLDER (PSY.D., LPC-S)?
For MR. RONALD R HOLDER (PSY.D., LPC-S), use NPI 1265748529 as the unique 10-digit identifier.
Is there an active status for MR. RONALD R HOLDER (PSY.D., LPC-S)?
For scheduling context, MR. RONALD R HOLDER (PSY.D., LPC-S) is shown as active in the registry.
How would a patient describe MR. RONALD R HOLDER (PSY.D., LPC-S)'s focus?
For MR. RONALD R HOLDER (PSY.D., LPC-S), the primary taxonomy reads as Counselor. Clinical services aligned with this taxonomy classification.
Is MR. RONALD R HOLDER (PSY.D., LPC-S) associated with San Antonio?
Public fields place MR. RONALD R HOLDER (PSY.D., LPC-S) around San Antonio, Texas. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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