Holly Mims, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

131 N Judd Pkwy NE Unit 82
Fuquay Varina, NC 27526-2392

Phone

(404) 824-7880

NPI assigned

Sep 17, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in SC, TN2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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 Specialty Group PA

  • Mental Health Counselor
  • Durham, NC
  • NPI 1801472634

  SC, TN

  Medicare reassignment NPD
• Healing Happens PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fuquay Varina, NC
  • NPI 1942197991
  NPD Authorized official

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

{
    "created_epoch": "1347840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750550400000",
    "number": "1700136702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 N JUDD PKWY NE UNIT 82",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275262392",
            "telephone_number": "404-824-7880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 N JUDD PKWY NE UNIT 82",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275262392",
            "telephone_number": "404-824-7880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2305 Highway 34 E",
            "address_purpose": "LOCATION",
            "city": "Newnan",
            "state": "GA",
            "postal_code": "302651329",
            "country_code": "US",
            "telephone_number": "678-423-1043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIMS",
        "first_name": "HOLLY",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-17",
        "last_updated": "2025-06-22",
        "certification_date": "2025-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC5821",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Miller, LCMHCA
• Michelle Lynn Miller, M.A. CCC-SLP
• Rebecca H Miller, M.A.
• Stefani Miller, MA, LPCA, NCC
• Katherine Hicks Milliken, CCC-SLP
• Lisa L Mims
• Cameron Mines
• Ashley Padgett Misischia, PT
• Ashley Mitchell
• Carrie Adeline Mitchell, MSW, LCSW, LCASA

• Mental Health Counselor in Fuquay Varina, NC
• Providers in Fuquay Varina, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.