Individual provider Active NPI

Matrice Evelyena Morrison, LCMHC

  • Professional Counselor
  • Wilmington, NC
National Provider Identifier
1629431945
Registry record updated Oct 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
12295 Issued in NC
Practice address
4185 Hearthside Dr
Apartment 101
Wilmington, NC 28412-8345
Phone
(910) 352-7369
NPI assigned
Apr 4, 2016
Last updated
Oct 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 12295 NC Primary

Addresses

Primary practice location

4185 Hearthside Dr
Apartment 101
Wilmington, NC 28412-8345

Mailing address

4185 Hearthside Dr
Apartment 101
Wilmington, NC 28412-8345
Phone (910) 352-7369

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240520000812 NC Practitioner - Mental Health Counselor 8527409713 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Carolina Psychological and Psychiatric Health SRVS PAGroup PAC ID 9436059219, 17 clinicians

Practice addresses (Care Compare)

1703 Country Club Rd
Suite 204
Jacksonville, NC 28546-6006
Phone (910) 347-3010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12295NCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
La Serenidad PLLC CurrentSince Aug 11, 2025 Accepting new patients
Calm Current Counseling, PLLC Current Accepting new patients
Carolina Psychological and Psychiatric Health SRVS, PA Professional CurrentSince Mar 26, 2024 Accepting new patients
Resolutions Counseling and Mediation Services, PLLC PastSince Mar 26, 2024 Accepting new patients

Locations

1703 Country Club Rd
Ste 204
Jacksonville, NC 28546
Phone (910) 347-3010

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1459728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791331200000",
    "number": "1629431945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4185 HEARTHSIDE DR",
            "address_2": "APARTMENT 101",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284128345",
            "telephone_number": "910-352-7369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4185 HEARTHSIDE DR",
            "address_2": "APARTMENT 101",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284128345",
            "telephone_number": "910-352-7369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRISON",
        "first_name": "MATRICE",
        "middle_name": "EVELYENA",
        "credential": "LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-04",
        "last_updated": "2026-10-07",
        "certification_date": "2026-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "12295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.