Organization Active NPI

Holsan Behavioral Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Raleigh, NC
National Provider Identifier
1629848619
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
HOLSAN BEHAVIORAL HEALTH
Practice address
4946 Windy Hill Dr Ste a
Raleigh, NC 27609-5188
Phone
(336) 355-2142
Fax
(336) 863-1925
NPI assigned
Jan 2, 2024
Last updated
Jan 27, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2026

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

Authorized official

Name
Mrs. Adrienne Holloway, RNNPI 1205681228
Title
Owner
Phone
(336) 355-2142

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

4946 Windy Hill Dr Ste a
Raleigh, NC 27609-5188

Mailing address

1631 Midtown PL Ste 104-110
Raleigh, NC 27609-1300
Phone (336) 355-2142

Other practice location 1

16 N Riverside Ave Ste 205
Medford, OR 97501-6024
Phone (541) 351-2998

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, OR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20240205001654 NC Part B Supplier - Clinic/Group Practice 2466895644 Receives reassigned benefits from 3 practitioners
Practice locations: Raleigh, NC
O20250327003683 OR Part B Supplier - Clinic/Group Practice 2466895644 Receives reassigned benefits from 2 practitioners
Practice locations: Medford, OR

National Provider Directory

National Provider Directory

Locations

4946 Windy Hill Dr
Ste A
Raleigh, NC 27609
Phone (336) 355-2142

1631 Midtown Pl
Ste 104110
Raleigh, NC 27609
Phone (336) 355-2142

16 N Riverside Ave
Ste 205
Medford, OR 97501
Phone (541) 351-2998

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1704153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769472000000",
    "number": "1629848619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1631 MIDTOWN PL STE 104-110",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276091300",
            "telephone_number": "336-355-2142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4946 WINDY HILL DR STE A",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276095188",
            "telephone_number": "336-355-2142",
            "fax_number": "336-863-1925"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16 N Riverside Ave Ste 205",
            "address_purpose": "LOCATION",
            "city": "Medford",
            "state": "OR",
            "postal_code": "975016024",
            "country_code": "US",
            "telephone_number": "541-351-2998",
            "fax_number": "336-863-1925",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HOLSAN BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-02",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A",
        "authorized_official_last_name": "HOLLOWAY",
        "authorized_official_first_name": "ADRIENNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-355-2142",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.