Holly Mims, LPC in Fuquay Varina, NC - Medicare Counselor Provider

Holly Mims, LPC is a medicare enrolled "Counselor - Mental Health" provider in Fuquay Varina, North Carolina. Her current practice location is 131 N Judd Pkwy Ne Unit 82, Fuquay Varina, North Carolina. You can reach out to her office (for appointments etc.) via phone at (404) 824-7880.

Holly Mims is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1700136702.

Contact Information

	Holly Mims, LPC
	131 N Judd Pkwy Ne Unit 82, Fuquay Varina, NC 27526-2392
	(404) 824-7880
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Holly Mims
Gender	Female
Speciality	Counselor - Mental Health
Location	131 N Judd Pkwy Ne Unit 82, Fuquay Varina, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1700136702
Provider Enumeration Date: 09/17/2012
Last Update Date: 06/22/2025

Medicare PECOS Information:

PECOS PAC ID: 3779007851
Enrollment ID: I20250410001064

Medical Identifiers

Medical identifiers for Holly Mims such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700136702	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	(* (Not Available))	Secondary
101YP2500X	Counselor - Professional	LPC5821 (Georgia)	Secondary
101YM0800X	Counselor - Mental Health	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Holly Mims allows following entities to bill medicare on her behalf.

Entity Name	Mental Health Specialty Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801472634 PECOS PAC ID: 8921466228 Enrollment ID: O20240926003314

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Holly Mims is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Holly Mims, LPC 131 N Judd Pkwy Ne Unit 82, Fuquay Varina, NC 27526-2392 Ph: (404) 824-7880	Holly Mims, LPC 131 N Judd Pkwy Ne Unit 82, Fuquay Varina, NC 27526-2392 Ph: (404) 824-7880

Reviews and Comments

Counselor in Fuquay Varina, NC

Judy Klimcheck, Counselor Medicare: Not Enrolled in Medicare Practice Location: 301 Sunset Dr, Fuquay Varina, NC 27526 Phone: 919-787-6131 Fax: 919-571-2932
Kelly Zander, LCMHCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1441 E Broad St Ste 112, Fuquay Varina, NC 27526 Phone: 919-275-0456
Brittany N Starbuck, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 E Academy St, Fuquay Varina, NC 27526 Phone: 919-980-5312
Susanne Christine Tafalla, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7629 Purfoy Rd, Fuquay Varina, NC 27526 Phone: 919-285-4802
Melissa Register Meyers, M.ED., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 320 N Judd Pkwy Ne, Suite 200, Fuquay Varina, NC 27526 Phone: 919-557-8222 Fax: 919-557-8223
Clara M Stiers, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8132 Robincrest Ct, Fuquay Varina, NC 27526 Phone: 919-552-3467
Mr. Matthew Alan Smith, MS, NCC, LPC Counselor Medicare: Medicare Enrolled Practice Location: 602 E Academy St Ste 105, Fuquay Varina, NC 27526 Phone: 919-753-1275

Holly Mims, LPC - Medicare Counselor in Fuquay Varina, NC