Individual provider Active NPI

Holly Dawn Weisse, LCMHC

  • Professional Counselor
  • Winston Salem, NC
National Provider Identifier
1659838936
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
1677 Westbrook Plaza Dr
Winston Salem, NC 27103-3065
Phone
(336) 713-0024
Fax
(336) 713-0028
NPI assigned
Feb 22, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2026

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 Primary
Mental Health Counselor 101YM0800X

Addresses

Primary practice location

1677 Westbrook Plaza Dr
Winston Salem, NC 27103-3065

Mailing address

3985 Village Park CT
Winston Salem, NC 27127-7468
Phone (336) 480-8171

Other practice location 1

306 S Main St
Kernersville, NC 27284-2762
Phone (336) 716-0855

Other practice location 2

8007 N Point Blvd Ste A
Winston Salem, NC 27106-3268
Phone (866) 700-1606

Other practice location 3

403 S Hawthorne Rd
Winston Salem, NC 27103-3784
Phone (336) 716-0855

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240213000656 NC Practitioner - Mental Health Counselor 6103269519 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carenet IncGroup PAC ID 6406845262, 40 clinicians

Practice addresses (Care Compare)

306 S Main St
Kernersville, NC 27284-2762
Phone (336) 716-0855

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Forest University Health Sciences CurrentSince Jan 1, 2024 Accepting new patients
Carenet Inc Mental Health PastSince May 1, 2026 Accepting new patients

Locations

100 Kimel Forest Dr
Winston Salem, NC 27103
Phone (336) 713-0947

Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697

3746 Vest Mill Rd
Winston Salem, NC 27103
Phone (336) 713-0024

1677 Westbrook Plaza Dr
Ste 110
Winston Salem, NC 27103

Organizations & group practices 3

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": "1550793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778716800000",
    "number": "1659838936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3985 VILLAGE PARK CT",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271277468",
            "telephone_number": "336-480-8171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1677 WESTBROOK PLAZA DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033065",
            "telephone_number": "336-713-0024",
            "fax_number": "336-713-0028"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "306 S Main St",
            "address_purpose": "LOCATION",
            "city": "Kernersville",
            "state": "NC",
            "postal_code": "272842762",
            "country_code": "US",
            "telephone_number": "336-716-0855",
            "fax_number": "336-716-0822",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8007 N Point Blvd Ste A",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271063268",
            "country_code": "US",
            "telephone_number": "866-700-1606",
            "fax_number": "866-338-5921",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "403 S Hawthorne Rd",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271033784",
            "country_code": "US",
            "telephone_number": "336-716-0855",
            "fax_number": "336-716-0822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEISSE",
        "first_name": "HOLLY",
        "middle_name": "DAWN",
        "credential": "LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-22",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.