Active NPI
Mason Andrew Poythress, LCMHCA
- Mental Health Counselor
- Raleigh, NC
National Provider Identifier
1679464564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- A21661
- Practice address
- 7850 Brier Creek Pkwy Ste 220
Raleigh, NC 27617-8900 - Phone
- (919) 578-7008
- NPI assigned
- Jul 10, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | A21661 | NC | Primary |
Addresses
Primary practice location
7850 Brier Creek Pkwy Ste 220
Raleigh, NC 27617-8900
Mailing address
4705 University Dr BLDG 700
Durham, NC 27707-3489
Phone (919) 237-1337
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A21661 | NC | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avance Care, PA | Current | Accepting new patients |
Locations
4705 University Dr
Bldg 700
Durham, NC 27707
Phone (919) 237-1337
7850 Brier Creek Pkwy
Ste 220
Raleigh, NC 27617
Phone (919) 578-7008
Organizations & group practices 1
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.
-
- Clinic/Center
- Fuquay Varina, NC
- NPI 1487845020
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1752105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756252800000",
"number": "1679464564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4705 UNIVERSITY DR BLDG 700",
"city": "DURHAM",
"state": "NC",
"postal_code": "277073489",
"telephone_number": "919-237-1337",
"fax_number": "866-538-4716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7850 BRIER CREEK PKWY STE 220",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276178900",
"telephone_number": "919-578-7008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POYTHRESS",
"first_name": "MASON",
"middle_name": "ANDREW",
"credential": "LCMHCA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-07-10",
"last_updated": "2025-08-27",
"certification_date": "2025-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "A21661",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.