Organization Active NPI

Accrescent PLLC

  • Mental Health Counselor
  • Fayetteville, NC
National Provider Identifier
1053030890
Registry record updated Aug 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
ACCRESCENT PLLC
Practice address
5085 Morganton Rd Ste 300
Fayetteville, NC 28314-1497
Phone
(910) 759-3673
NPI assigned
Aug 24, 2022
Last updated
Aug 24, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Candis Braxton, LMFTA
Title
Associate Therapist
Phone
(910) 759-3673

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

5085 Morganton Rd Ste 300
Fayetteville, NC 28314-1497

Mailing address

5085 Morganton Rd Ste 300
Fayetteville, NC 28314-1497
Phone (910) 759-3673

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1661299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661299200000",
    "number": "1053030890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5085 MORGANTON RD STE 300",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283141497",
            "telephone_number": "910-759-3673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5085 MORGANTON RD STE 300",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283141497",
            "telephone_number": "910-759-3673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCRESCENT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-24",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A",
        "authorized_official_last_name": "BRAXTON",
        "authorized_official_first_name": "CANDIS",
        "authorized_official_title_or_position": "ASSOCIATE THERAPIST",
        "authorized_official_telephone_number": "910-759-3673",
        "authorized_official_credential": "LMFTA"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.