Acacia Warren, M.ED., LCMHCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A20565 Issued in NC

Practice address

1437 Military Cutoff Rd Ste 210
Wilmington, NC 28403-3638

Phone

(910) 444-4771

NPI assigned

Sep 17, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

Practice roles

Locations

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.

• Clarity Counseling Center

  • Psychologist
  • Wilmington, NC
  • NPI 1770965139
  NPD

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

{
    "created_epoch": "1726531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1326875071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4908 UNDERWOOD AVE APT 13-306",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284057722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1437 MILITARY CUTOFF RD STE 210",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284033638",
            "telephone_number": "910-444-4771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN",
        "first_name": "ACACIA",
        "credential": "M.ED., LCMHCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-17",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A20565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wade Christopher Ward, DMD
• Jeffrey Lawrence Warhaftig, MD
• Warm Embrace House LLC
• Andrew Warner, COTA/L
• Deborah Elizabeth Warner, PA
• Lewis Patrick Warren Jr., M.D.
• Olivia Grace Warren
• Perihan Simpson Warren, FNP-C
• Thomas L Warren, PSY.D
• Warrens Case Management and Support Services Inc

• Mental Health Counselor in Wilmington, NC
• Providers in Wilmington, 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 Sep 17, 2024; 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.