Individual provider Active NPI

Dwight Hollier, MS, LPC, NCC

  • Professional Counselor
  • Charlotte, NC
National Provider Identifier
1871655803
Registry record updated Apr 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5312 Issued in NC
Practice address
1801 North Tryon Street
Suite 309
Charlotte, NC 28206
Phone
(704) 940-1280
Fax
(704) 940-1281
NPI assigned
Dec 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 5312 NC
Professional Counselor 101YP2500X 5312 NC Primary

Addresses

Primary practice location

1801 North Tryon Street
Suite 309
Charlotte, NC 28206

Mailing address

1801 North Tryon Street
Suite 309
Charlotte, NC 28206
Phone (704) 940-1280

Other identifiers 3

IdentifierTypeStateIssuer
225560OtherNCNCC
6103517MedicaidNC
5312OtherNCLPC NUMBER

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
5312NCMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Point After Transition Counseling & Consulting,PLLC Mental Health Past 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": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207699200000",
    "number": "1871655803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 NORTH TRYON STREET",
            "address_2": "SUITE 309",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28206",
            "telephone_number": "704-940-1280",
            "fax_number": "704-940-1281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 NORTH TRYON STREET",
            "address_2": "SUITE 309",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28206",
            "telephone_number": "704-940-1280",
            "fax_number": "704-940-1281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLIER",
        "first_name": "DWIGHT",
        "credential": "MS, LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-15",
        "last_updated": "2008-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "5312",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "5312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCC",
            "identifier": "225560",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6103517",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC NUMBER",
            "identifier": "5312",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; 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.