MRS. HOLLY NICOLE COLEMAN LCMHCS
NPI 1093783664
Counselor - Professional in Statesville, NC

Q: What is Holly Coleman's NPI number?

The NPI number for Holly Coleman is 1093783664. It was assigned to this individual provider in the NPPES registry on March 9, 2006.

Q: What is Holly Coleman's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Holly Coleman was last updated on December 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 09, 2006PECOS Enrolled

524 SIGNAL HILL DRIVE EXT, STATESVILLE, NC 28625(704) 871-1045(704) 873-6647 Get Directions Write a Review

NPPES record last updated: December 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 16, 2025, May 12, 2017 (2 updates tracked since 2017).

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About Mrs. Holly Nicole Coleman Lcmhcs NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. HOLLY NICOLE COLEMAN LCMHCS (NPI 1093783664) is an individual professional provider in Statesville, North Carolina, licensed in North Carolina (5037) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Concord.

NPPES Registry Identity

NPI1093783664

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameMRS. HOLLY NICOLE COLEMANCredential: LCMHCS

Location Address524 SIGNAL HILL DRIVE EXTStatesville, NC 28625-4391

Mailing Address284 Executive Park Dr Ste 100Concord, NC 28025-1833 · (704) 939-1100 · Fax (704) 939-1173

Phone(704) 871-1045

Fax(704) 873-6647

Sole ProprietorNo

Enumeration DateMarch 9, 2006

Last NPPES UpdateDecember 16, 20252 updates tracked since enumeration

NPPES CertifiedDecember 16, 2025

✔ NPI 1093783664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in NC · 5037

524 SIGNAL HILL DRIVE EXT, Statesville, NC 28625

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Secondary Practice Location 1

Location 1284 Executive Park Dr Ste 100Concord, NC 28025-1833 · Phone (704) 939-1100 · Fax (704) 939-1173

Other Identifiers 4

Medicaid1093783664NC

Other183722NC · Medcost

Other2182522NC · Cigna Behavioral Health

Medicaid6102918NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Holly Nicole Coleman Lcmhcs is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMY ALEXANDER RN

Registered Nurse