NPIMap

Individual provider Active NPI

Danielle Star Holzworth, CADC

  • Addiction (Substance Use Disorder) Counselor
  • Fayetteville, NC
National Provider Identifier
1093596900
Registry record updated Sep 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
203201 Issued in NC
Practice address
1516 Berriedale Dr
Fayetteville, NC 28304-5503
Phone
(910) 545-7561
Fax
(910) 491-1516
NPI assigned
Oct 9, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X 198405 NC
Behavior Technician 106S00000X BCAB458532 NC
Addiction (Substance Use Disorder) Counselor 101YA0400X 203201 NC Primary

Addresses

Primary practice location

1516 Berriedale Dr
Fayetteville, NC 28304-5503

Mailing address

1516 Berriedale Dr
Fayetteville, NC 28304-5503
Phone (910) 545-7561

Other identifiers 2

IdentifierTypeStateIssuer
93-3893775MedicaidNC
93-3893775OtherNCTRICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
BCAB458532NCMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Neurobloom Behavioral Health, LLC Counselor CurrentSince Dec 21, 2025 Accepting new patients
All-American Care Network Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1696809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789171200000",
    "number": "1093596900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1516 BERRIEDALE DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283045503",
            "telephone_number": "910-545-7561",
            "fax_number": "910-491-1516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 BERRIEDALE DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283045503",
            "telephone_number": "910-545-7561",
            "fax_number": "910-491-1516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLZWORTH",
        "first_name": "DANIELLE",
        "middle_name": "STAR",
        "credential": "CADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-09",
        "last_updated": "2026-09-12",
        "certification_date": "2026-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "NC",
            "license": "198405",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NC",
            "license": "BCAB458532",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "203201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "93-3893775",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "93-3893775",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.