Caring Hearts Professional Counseling Services, PLLC
Organization Active NPI Mental Health Counselor · Clinton, NC
NPI 1003108200 · NPPES record last updated Jan 15, 2026
Key facts
- NPI
- 1003108200
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Legal business name
- CARING HEARTS PROFESSIONAL COUNSELING SERVICES, PLLC
- Practice address
- 312 College St
Suite C
Clinton, NC 28328-4181 - Phone
- (910) 299-0848
- Fax
- (910) 299-0850
- NPI assigned
- May 5, 2011
- Organization subpart
- No
Authorized official
- Name
- Vande Wilson, LPC
- Title
- Director
- Phone
- (910) 299-0848
Practitioners 2
-
Phyllis Ann Potter, MS, LPC, NCC, RPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240507004339 | NC | Part B Supplier - Clinic/Group Practice | 1052752110 |
Receives reassigned benefits from 2 practitioners Practice locations: Clinton, NC |
National Provider Directory
Locations
312 College St
Ste C
Clinton, NC 28328
Phone (910) 299-0848
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor |
101YA0400X | 2064 | NC | |
| Mental Health Counselor |
101YM0800X | Yes | ||
| Community/Behavioral Health Agency | 251S00000X |
Addresses
Primary practice location
312 College St
Suite C
Clinton, NC 28328-4181
Mailing address
P. O. Box 1734
Clinton, NC 28329
Phone (910) 299-0848
Other practice location 1
2233 Rustic Trl
Fayetteville, NC 28306-3280
Phone (910) 299-0848
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 15, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.