Individual provider Active NPI

Elizabeth Tice, LCMHCA

  • Counselor
  • Fayetteville, NC
National Provider Identifier
1912766411
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
A19566 Issued in NC
Practice address
8705 Grouse Run LN
Fayetteville, NC 28314-6076
Phone
(910) 745-7527
NPI assigned
Mar 18, 2024
Last updated
Dec 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X A19566 NC Primary

Addresses

Primary practice location

8705 Grouse Run LN
Fayetteville, NC 28314-6076

Mailing address

8705 Grouse Run LN
Fayetteville, NC 28314-6076
Phone (360) 980-1057

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

LicenseStateTypeSpecialty
A19566NCMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Elizabeth Tice Counseling PLLC CurrentSince Mar 24, 2024 Accepting new patients
Phoenix Partners NC PastSince Dec 21, 2025 Accepting new patients

Organizations & group practices 2

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": "1710720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765929600000",
    "number": "1912766411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8705 GROUSE RUN LN",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283146076",
            "telephone_number": "360-980-1057",
            "fax_number": "919-205-9919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8705 GROUSE RUN LN",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283146076",
            "telephone_number": "910-745-7527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TICE",
        "first_name": "ELIZABETH",
        "credential": "LCMHCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-18",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": "A19566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.

Verify at the official NPI Registry.