Individual provider Active NPI

Holly Foraker, LPMHC

  • Mental Health Counselor
  • Dover, DE
National Provider Identifier
1699576744
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PC-0011564 Issued in DE
Practice address
222 S Dupont Hwy Ste 102
Dover, DE 19901-3778
Phone
(302) 313-1072
Fax
(302) 883-8202
NPI assigned
Mar 24, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X PC-0011564 DE Primary

Addresses

Primary practice location

222 S Dupont Hwy Ste 102
Dover, DE 19901-3778

Mailing address

222 S Dupont Hwy Ste 102
Dover, DE 19901-3778
Phone (302) 313-1072

Other practice location 1

102 Sleepy Hollow Dr Ste 105
Middletown, DE 19709-5841
Phone (302) 313-1072

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PC-0011564DEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Willow Counseling Services PastSince Mar 30, 2025 Accepting new patients

Organizations & group practices 1

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": "1742774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742774400000",
    "number": "1699576744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 S DUPONT HWY STE 102",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199013778",
            "telephone_number": "302-313-1072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 S DUPONT HWY STE 102",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199013778",
            "telephone_number": "302-313-1072",
            "fax_number": "302-883-8202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "102 Sleepy Hollow Dr Ste 105",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "DE",
            "postal_code": "197095841",
            "country_code": "US",
            "telephone_number": "302-313-1072",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORAKER",
        "first_name": "HOLLY",
        "credential": "LPMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-24",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "DE",
            "license": "PC-0011564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2025; 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.