Individual provider Active NPI

Jennifer Mary Putzi, LCMHC-A

  • Mental Health Counselor
  • Holly Springs, NC
National Provider Identifier
1922959576
Registry record updated Feb 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A22164 Issued in NC
Practice address
112 Holly Park Dr
Holly Springs, NC 27540-9405
Phone
(919) 394-8562
NPI assigned
Feb 9, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2026

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 A22164 NC Primary

Addresses

Primary practice location

112 Holly Park Dr
Holly Springs, NC 27540-9405

Mailing address

112 Holly Park Dr
Holly Springs, NC 27540-9405
Phone (919) 394-8562

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
A22164NCMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1770595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770595200000",
    "number": "1922959576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 HOLLY PARK DR",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275409405",
            "telephone_number": "919-394-8562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 HOLLY PARK DR",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275409405",
            "telephone_number": "919-394-8562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUTZI",
        "first_name": "JENNIFER",
        "middle_name": "MARY",
        "credential": "LCMHC-A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-02-09",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A22164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holly Springs, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2026; 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.