Active NPI
Holly Nicole Coleman, LCMHCS
- Professional Counselor
- Statesville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 5037
- Practice address
- 524 Signal Hill Drive Ext
Statesville, NC 28625-4391 - Phone
- (704) 871-1045
- Fax
- (704) 873-6647
- NPI assigned
- Mar 9, 2006
- Last updated
- Dec 16, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 5037 | NC | Primary |
Addresses
Primary practice location
524 Signal Hill Drive Ext
Statesville, NC 28625-4391
Mailing address
284 Executive Park Dr Ste 100
Concord, NC 28025-1833
Phone (704) 939-1100
Other practice location 1
284 Executive Park Dr Ste 100
Concord, NC 28025-1833
Phone (704) 939-1100
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093783664 | Medicaid | NC | |
| 183722 | Other | NC | MEDCOST |
| 2182522 | Other | NC | CIGNA BEHAVIORAL HEALTH |
| 6102918 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5037 | NC | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Daymark Recovery Services, Inc. | Professional | Current | Accepting new patients |
Locations
132 Poplar Grove Connector
Ste B
Boone, NC 28607
Phone (828) 264-8759
284 Executive Park Dr
Ste 100
Kannapolis, NC 28025
Phone (704) 939-1118
1104A S Main St
Lexington, NC 27292
Phone (336) 252-2450
2129 Statesville Blvd
Salisbury, NC 28147
Phone (704) 633-3616
524 Signal Hill Drive Ext
Statesville, NC 28625
Phone (704) 871-1045
Interoperability endpoints
- holly.robinson.p1@direct.daymarkrecovery.nextgenshare.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Concord, NC
- NPI 1558329243
Professional
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765843200000",
"number": "1093783664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "284 EXECUTIVE PARK DR STE 100",
"city": "CONCORD",
"state": "NC",
"postal_code": "280251833",
"telephone_number": "704-939-1100",
"fax_number": "704-939-1173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "524 SIGNAL HILL DRIVE EXT",
"city": "STATESVILLE",
"state": "NC",
"postal_code": "286254391",
"telephone_number": "704-871-1045",
"fax_number": "704-873-6647"
}
],
"practiceLocations": [
{
"address_1": "284 Executive Park Dr Ste 100",
"address_purpose": "LOCATION",
"city": "Concord",
"state": "NC",
"postal_code": "280251833",
"country_code": "US",
"telephone_number": "704-939-1100",
"fax_number": "704-939-1173",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COLEMAN",
"first_name": "HOLLY",
"middle_name": "NICOLE",
"name_prefix": "Mrs.",
"credential": "LCMHCS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-09",
"last_updated": "2025-12-16",
"certification_date": "2025-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "5037",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1093783664",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "183722",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA BEHAVIORAL HEALTH",
"identifier": "2182522",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6102918",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Statesville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.