Active NPI
Holly Dawn Weisse, LCMHC
- Professional Counselor
- Winston Salem, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wake Forest University Health Sciences | Current | Accepting new patients | |
| Carenet Inc | Mental Health | Past | 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.
-
- Mental Health Counselor
- Winston Salem, NC
- NPI 1043424013
-
- Multi-Specialty Clinic/Center
- Winston Salem, NC
- NPI 1003803032
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.