Elite Care Service at Middle Rd

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

ELITE CARE SERVICE AT MIDDLE RD

Practice address

711 Middle Rd
Fayetteville, NC 28312-5211

Phone

(732) 674-5748

NPI assigned

May 27, 2026

Organization subpart

Yes

Parent organization

ELITE CARE SERVICE INCAs reported in NPPES

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

Authorized official

Name

James Frederick

Title

Ceo

Phone

(732) 674-5748

Specialties & licenses 3

Addresses

Part of

Elite Care Service Inc

Locations

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

{
    "created_epoch": "1779840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780358400000",
    "number": "1144151275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9525",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283119088",
            "telephone_number": "732-674-5748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 MIDDLE RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283125211",
            "telephone_number": "732-674-5748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE CARE SERVICE AT MIDDLE RD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ELITE CARE SERVICE INC",
        "enumeration_date": "2026-05-27",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A",
        "authorized_official_last_name": "FREDERICK",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "732-674-5748"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Elite Medical Supply LLC
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• Elite Perspectives Counseling Services
• Elizabeth Tice Counseling PLLC

• 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 Jun 2, 2026; 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.