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HOLLY MIMS LPC
NPI 1700136702
Counselor - Mental Health in Fuquay Varina, NC

Active since September 17, 2012PECOS Enrolled
131 N JUDD PKWY NE UNIT 82, FUQUAY VARINA, NC 27526(404) 824-7880 Get Directions Write a Review

NPPES record last updated: June 22, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Holly Mims Lpc NPPES

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

HOLLY MIMS LPC (NPI 1700136702) is an individual mental health provider in Fuquay Varina, North Carolina and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS and maintains a secondary practice location in Newnan.

NPPES Registry Identity

NPI1700136702
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameHOLLY MIMSCredential: LPC
Location Address131 N JUDD PKWY NE UNIT 82Fuquay Varina, NC 27526-2392
Mailing Address131 N Judd Pkwy Ne Unit 82Fuquay Varina, NC 27526-2392 · (404) 824-7880
Phone(404) 824-7880
Sole ProprietorYes
Enumeration DateSeptember 17, 2012
Last NPPES UpdateJune 22, 2025
NPPES CertifiedJune 22, 2025
✔ NPI 1700136702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License LPC5821 (GA)
131 N JUDD PKWY NE UNIT 82, Fuquay Varina, NC 27526
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Secondary Practice Location 1

Location 12305 Highway 34 ENewnan, GA 30265-1329 · Phone (678) 423-1043

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, CareSource, Oscar Health Plan of North Carolina, Inc and more.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)

Holly Mims Lpc 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.

Other Providers at the Same Location NPPES

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

HEALING HAPPENS PLLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
131 N JUDD PKWY NE UNIT 82
FUQUAY VARINA, NC 27526
Wake County (470) 672-7402

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Holly Mims's NPI number?

The NPI number for Holly Mims is 1700136702. It was assigned to this individual provider in the NPPES registry on September 17, 2012.

Where is Holly Mims located?

Holly Mims practices at 131 N Judd Pkwy NE Unit 82, Fuquay Varina, NC 27526. The listed phone number is (404) 824-7880.

What is Holly Mims's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Holly Mims enrolled in Medicare?

Yes. Holly Mims is registered in the Medicare PECOS enrollment system.

What insurance does Holly Mims accept?

Health plans from Blue Cross and Blue Shield of NC, CareSource, Oscar Health Plan of North Carolina, Inc, Oscar Insurance Company and Providence Health Plan and 1 other insurer list Holly Mims as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Holly Mims was last updated on June 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.