HOLLY MIMS LPC
NPI 1700136702
Counselor - Mental Health in Fuquay Varina, NC
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
Specialties & Licenses 3
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Holly Mims Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Holly Mims reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Durham, NC 27701
- Reassigned Medicare billing, South Carolina and Tennessee enrollments
- 106 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FUQUAY VARINA, NC 27526
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.
Which organization bills Medicare for Holly Mims's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Holly Mims reassigns Medicare benefits to Mental Health Specialty Group PA (Durham, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Holly Mims's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Holly Mims accept?
Health plans from BlueCross BlueShield of Tennessee, CareSource, Cigna Healthcare, Oscar Health and Oscar Health Plan of North Carolina, Inc and 2 other insurers 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 16 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.
# Holly Mims, LPC · NPI 1700136702
Mental Health provider in Fuquay Varina, North Carolina. Individual provider, active in the CMS NPPES registry since September 17, 2012.
## Identity
- **NPI:** 1700136702 (Entity type: Individual)
- **Enumerated:** September 17, 2012
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 131 N JUDD PKWY NE UNIT 82, Fuquay Varina, NC 27526-2392
- **Phone:** (404) 824-7880
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Mental Health Specialty Group PA (NPI 1801472634, Durham, NC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 22, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1700136702) · Data from the CMS NPPES public registry.