Holly Wilburn, M.S,NCC, LPCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

100 Birch CT
New Bern, NC 28562-8667

Phone

(724) 813-1619

NPI assigned

Feb 6, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1391644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403049600000",
    "number": "1326462680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BIRCH CT",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285628667",
            "telephone_number": "724-813-1619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BIRCH CT",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285628667",
            "telephone_number": "724-813-1619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILBURN",
        "first_name": "HOLLY",
        "credential": "M.S,NCC, LPCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-06",
        "last_updated": "2014-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A10910",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Burton Whitmore III, MD
• Jessica Elizabeth Whittington, LCSW
• Allison Whitworth
• Maurits J. Wiersema, MD
• William Mickey Wike, M.D.
• Stephanie Patricia Wilcher, MD
• Susan Leda Wilcox
• Jariah Lynn Wilder, LMBT, CHT
• Tabitha Wilkerson
• Kenneth Worth Wilkins Jr., MD

• Mental Health Counselor in New Bern, NC
• Providers in New Bern, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2014; 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.