Individual provider Active NPI

Neil Blue, LPC

  • Mental Health Counselor
  • Fayetteville, NC
National Provider Identifier
1679777494
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
4276 Legend Ave
Suite C
Fayetteville, NC 28303-1965
Phone
(910) 867-0035
NPI assigned
Jun 14, 2007
Last updated
Apr 30, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

4276 Legend Ave
Suite C
Fayetteville, NC 28303-1965

Mailing address

4276 Legend Ave
Suite C
Fayetteville, NC 28303-1965
Phone (910) 867-0035

Other practice location 1

3415A Melrose Rd
Fayetteville, NC 28304-1608
Phone (910) 615-3333

Other practice location 2

3429 Melrose Rd
Fayetteville, NC 28304-1608
Phone (910) 615-3200

Other practice location 3

588 Bailey Rd
Lumberton, NC 28358-2455
Phone (910) 615-3333

Other practice location 4

2346 Barrington Cir
Fayetteville, NC 28303-4284
Phone (910) 615-3333

Other practice location 5

523 Country Club Dr
Fayetteville, NC 28301-7613
Phone (910) 615-3333

Other practice location 6

1638 Owen Dr
Fayetteville, NC 28304-3424
Phone (910) 615-6440

Other practice location 7

210 Medical Pavilion Dr
Raeford, NC 28376-9111
Phone (910) 615-3333

Other practice location 8

300 E McKay St
Elizabethtown, NC 28337-9037
Phone (910) 615-3333

Other practice location 9

7 E Duncan St
Lillington, NC 27546-4829
Phone (910) 615-3333

Other practice location 10

1262 Oliver St
Fayetteville, NC 28304-4449
Phone (910) 615-3333

Other practice location 11

711 Executive Pl
Fayetteville, NC 28305-5193
Phone (910) 615-1623

Other practice location 12

3425 Melrose Rd
Fayetteville, NC 28304-1608
Phone (910) 615-3333

Other identifiers 1

IdentifierTypeStateIssuer
6103649MedicaidNC

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
I20240117000167 NC Practitioner - Mental Health Counselor 7719339647 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

711 Executive PL
Fayetteville, NC 28305-5193
Phone (910) 615-3333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cumberland County Hospital System Inc CurrentSince Jan 1, 2024 Accepting new patients
Cumberland County Hospital System Inc Current Accepting new patients
Cumberland County Hospital System Inc CurrentSince Jan 1, 2024 Accepting new patients
Evergreen Behavioral Management, Inc. Past Accepting new patients
Carolina Kidney Care, PA Past Accepting new patients

Locations

1262 Oliver St
Fayetteville, NC 28304
Phone (910) 615-4801

1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610

3415A Melrose Rd
Fayetteville, NC 28304
Phone (910) 484-3000

3425 Melrose Rd
Fayetteville, NC 28304
Phone (910) 609-3700

3429 Melrose Rd
Fayetteville, NC 28304
Phone (910) 615-3200

210 Medical Pavilion Dr
Raeford, NC 28376
Phone (910) 904-8000

Organizations & group practices 6

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": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777507200000",
    "number": "1679777494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4276 LEGEND AVE",
            "address_2": "SUITE C",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283031965",
            "telephone_number": "910-867-0035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4276 LEGEND AVE",
            "address_2": "SUITE C",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283031965",
            "telephone_number": "910-867-0035"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3415A Melrose Rd",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283041608",
            "country_code": "US",
            "telephone_number": "910-615-3333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3429 Melrose Rd",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283041608",
            "country_code": "US",
            "telephone_number": "910-615-3200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "588 Bailey Rd",
            "address_purpose": "LOCATION",
            "city": "Lumberton",
            "state": "NC",
            "postal_code": "283582455",
            "country_code": "US",
            "telephone_number": "910-615-3333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2346 Barrington Cir",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283034284",
            "country_code": "US",
            "telephone_number": "910-615-3333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "523 Country Club Dr",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283017613",
            "country_code": "US",
            "telephone_number": "910-615-3333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1638 Owen Dr",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283043424",
            "country_code": "US",
            "telephone_number": "910-615-6440",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "210 Medical Pavilion Dr",
            "address_purpose": "LOCATION",
            "city": "Raeford",
            "state": "NC",
            "postal_code": "283769111",
            "country_code": "US",
            "telephone_number": "910-615-3333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 E McKay St",
            "address_purpose": "LOCATION",
            "city": "Elizabethtown",
            "state": "NC",
            "postal_code": "283379037",
            "country_code": "US",
            "telephone_number": "910-615-3333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7 E Duncan St",
            "address_purpose": "LOCATION",
            "city": "Lillington",
            "state": "NC",
            "postal_code": "275464829",
            "country_code": "US",
            "telephone_number": "910-615-3333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1262 Oliver St",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283044449",
            "country_code": "US",
            "telephone_number": "910-615-3333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "711 Executive Pl",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283055193",
            "country_code": "US",
            "telephone_number": "910-615-1623",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3425 Melrose Rd",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283041608",
            "country_code": "US",
            "telephone_number": "910-615-3333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLUE",
        "first_name": "NEIL",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-14",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6103649",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.