Individual provider Active NPI

Rebekah S Holloman, LCMHC

  • Mental Health Counselor
  • Wilson, NC
National Provider Identifier
1861077380
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A14853 Issued in NC
Practice address
3201 Nash St NW Ste a
Wilson, NC 27896-3000
Phone
(252) 373-4722
Fax
(888) 415-9555
NPI assigned
Mar 16, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 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 A14853 NC Primary

Addresses

Primary practice location

3201 Nash St NW Ste a
Wilson, NC 27896-3000

Mailing address

2506 Nash St N
Wilson, NC 27896-1393
Phone (252) 373-4722

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
A14853NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Anchor Family Therapy CurrentSince Mar 21, 2021 Accepting new patients

Locations

2506 Nash St N
Wilson, NC 27896
Phone (252) 246-9177

3201 Nash St NW
Ste A
Wilson, NC 27896
Phone (252) 294-2811

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": "1615852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1861077380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2506 NASH ST N",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278961393",
            "telephone_number": "252-373-4722",
            "fax_number": "888-415-9555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 NASH ST NW STE A",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278963000",
            "telephone_number": "252-373-4722",
            "fax_number": "888-415-9555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLOMAN",
        "first_name": "REBEKAH",
        "middle_name": "S",
        "credential": "LCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-16",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A14853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilson, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.