Individual provider Active NPI

Patricia Holsclaw, M.A., LPC, ATR

  • Professional Counselor
  • Mebane, NC
National Provider Identifier
1518325844
Registry record updated Feb 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
8794 Issued in NC
Practice address
4045 Forest Oaks LN
Mebane, NC 27302-9613
Phone
(919) 563-4628
NPI assigned
Feb 1, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 8794 NC Primary
Art Therapist 221700000X 94-083 NC

Addresses

Primary practice location

4045 Forest Oaks LN
Mebane, NC 27302-9613

Mailing address

4045 Forest Oaks LN
Mebane, NC 27302-9613
Phone (919) 563-4628

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Oct 1, 2024 through Oct 1, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
8794NCMDGeneral Practice Dentistry
94-083NCMDArt Therapist

NPI Registry JSON

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

{
    "created_epoch": "1454284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454284800000",
    "number": "1518325844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4045 FOREST OAKS LN",
            "city": "MEBANE",
            "state": "NC",
            "postal_code": "273029613",
            "telephone_number": "919-563-4628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4045 FOREST OAKS LN",
            "city": "MEBANE",
            "state": "NC",
            "postal_code": "273029613",
            "telephone_number": "919-563-4628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLSCLAW",
        "first_name": "PATRICIA",
        "credential": "M.A., LPC, ATR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-01",
        "last_updated": "2016-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "8794",
            "primary": true
        },
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "NC",
            "license": "94-083",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mebane, NC

Sources for this page

Verify at the official NPI Registry.