Pax Community Counseling, PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

PAX COMMUNITY COUNSELING, PLLC

Practice address

6013 Eaglechase Dr
Fayetteville, NC 28314-2901

Phone

(910) 987-2180

NPI assigned

Feb 18, 2021

Organization subpart

No

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

Authorized official

Name

Elizabeth Miki Anderson, LCMHCNPI 1629485412

Title

Lcmhc

Phone

(910) 987-2180

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elizabeth Michelle Anderson, LPC

  • Mental Health Counselor
  • Fayetteville, NC
  • NPI 1629485412
  NPD Authorized official

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

{
    "created_epoch": "1613606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613606400000",
    "number": "1093308215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6013 EAGLECHASE DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283142901",
            "telephone_number": "910-987-2180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6013 EAGLECHASE DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283142901",
            "telephone_number": "910-987-2180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAX COMMUNITY COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-18",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "MIKI",
        "authorized_official_title_or_position": "LCMHC",
        "authorized_official_telephone_number": "910-987-2180",
        "authorized_official_credential": "LCMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaycee Paul
• Sandy Lynn Paul
• Augustus Pauley
• Jakayla Pauling
• Pause Button Release LLC
• April Paylor
• Frederick Bowen Payne Jr., MD
• Lauren Susannah Payne, PA
• Nell Payne
• Rachael Payne, DPM

• Mental Health Counselor in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2021; 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.