HOLLY MIMS (LPC) – Mental Health Counselor, NPI 1700136702
Mental Health Counselor
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,201 MENTAL HEALTH COUNSELOR in GA
Provider Addresses for HOLLY MIMS (LPC)
2305 Highway 34 E
Newnan, GA 302651329
Phone: (678) 423-1043
Type: Location
PO BOX 90107
EAST POINT, GA 303640107
Phone: (410) 905-5678
Type: Mailing
2 LEE ST
NEWNAN, GA 302631915
Phone: (410) 905-5678
Type: Location
131 N JUDD PKWY NE UNIT 82
FUQUAY VARINA, NC 275262392
Phone: (404) 824-7880
Type: Mailing
2305 HIGHWAY 34 E
NEWNAN, GA 302651329
Phone: (678) 423-1043
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-05-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20250410001064 | I | Mental Health Counselor | SC | TBD |
| I20250515002401 | I | Mental Health Counselor | TN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30265)
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