Paula A Fleming, LPC, LPCS, LCAS, CCS

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

4500 Issued in NC

Practice address

110 SW Center St
Mount Olive, NC 28365

Phone

(919) 635-3344

Fax

(919) 635-3388

NPI assigned

Nov 10, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2001

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Family First Support Center Inc

  • Community/Behavioral Health Agency
  • Clinton, NC
  • NPI 1417123159
  NPD (past)
• Family First Support Center Inc

  • Community/Behavioral Health Agency
  • Mount Olive, NC
  • NPI 1538207576
  NPD (past)

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533772800000",
    "number": "1285705459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 VAIL RD",
            "city": "PIKEVILLE",
            "state": "NC",
            "postal_code": "278639446",
            "telephone_number": "919-656-1163",
            "fax_number": "919-635-3388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 SW CENTER ST",
            "city": "MOUNT OLIVE",
            "state": "NC",
            "postal_code": "28365",
            "telephone_number": "919-635-3344",
            "fax_number": "919-635-3388"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3439 Casey St",
            "address_purpose": "LOCATION",
            "city": "Loris",
            "state": "SC",
            "postal_code": "295692903",
            "country_code": "US",
            "telephone_number": "843-756-7171",
            "fax_number": "843-756-7176",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "411 W Hampton St",
            "address_purpose": "LOCATION",
            "city": "Dillon",
            "state": "SC",
            "postal_code": "295363337",
            "country_code": "US",
            "telephone_number": "843-765-4087",
            "fax_number": "843-765-4085",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "202 W Main St",
            "address_purpose": "LOCATION",
            "city": "Hamlet",
            "state": "NC",
            "postal_code": "283453322",
            "country_code": "US",
            "telephone_number": "910-582-0792",
            "fax_number": "910-582-0793",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1112 Atkinson St",
            "address_purpose": "LOCATION",
            "city": "Laurinburg",
            "state": "NC",
            "postal_code": "283524723",
            "country_code": "US",
            "telephone_number": "910-610-4222",
            "fax_number": "910-610-4228",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "707 College St",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "NC",
            "postal_code": "283283503",
            "country_code": "US",
            "telephone_number": "910-592-4507",
            "fax_number": "910-592-4494",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLEMING",
        "first_name": "PAULA",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "LPC, LPCS, LCAS, CCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-10",
        "last_updated": "2018-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "1050",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "6530",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "4500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NPB531",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PC1266",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "161BHS",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP7295",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3410166",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6102664",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Family First Support Center Inc
• Family First Support Center Inc
• Family First Support Center Inc
• Eugene Fleming
• Jeanette Fleming
• Fountain of Youth LLC Residential Care
• Fonda Frink
• Elizabeth F. Garcia, MS, CCC-SLP
• Bryon M Geer, DO
• Kristen Gibson

• Professional Counselor in Mount Olive, NC
• Providers in Mount Olive, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.